Individual provider Active NPI

Casey Leigh Permenter, LCSW, CCM, CPHQ

  • Clinical Social Worker
  • Cordova, TN
National Provider Identifier
1023770054
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6348 Issued in TN
Practice address
65 Germantown CT Ste 207
Cordova, TN 38018-4258
Phone
(901) 878-3332
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6348 TN Primary

Addresses

Primary practice location

65 Germantown CT Ste 207
Cordova, TN 38018-4258

Mailing address

65 Germantown CT Ste 207
Cordova, TN 38018-4258
Phone (901) 878-3332

Other practice location 1

116 Agnes Rd Ste 200
Knoxville, TN 37919-6306
Phone (901) 669-3198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801003785 TN Practitioner - Clinical Social Worker 3870030398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathways to Wellness LLCGroup PAC ID 8224481148, 8 clinicians

Practice addresses (Care Compare)

65 Germantown CT
Suite 207
Cordova, TN 38018-4258
Phone (901) 878-3332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6348TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways to Wellness LLC CurrentSince Mar 7, 2025 Accepting new patients
Carelon Medical Partners, PC PastSince Dec 18, 2022 Accepting new patients

Locations

65 Germantown Ct
Ste 207
Cordova, TN 38018
Phone (901) 878-3332

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1023770054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 GERMANTOWN CT STE 207",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184258",
            "telephone_number": "901-878-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 GERMANTOWN CT STE 207",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184258",
            "telephone_number": "901-878-3332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Agnes Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379196306",
            "country_code": "US",
            "telephone_number": "901-669-3198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERMENTER",
        "first_name": "CASEY",
        "middle_name": "LEIGH",
        "credential": "LCSW, CCM, CPHQ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.