Savannah Noel Wiley, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15655 Issued in TN

Practice address

1241 Volunteer Pkwy
Bristol, TN 37620-4659

Phone

(423) 530-3703

NPI assigned

Aug 20, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Open Minds Psychiatric and Mental

  • Psychiatric/Mental Health Nurse Practitioner
  • Bristol, TN
  • NPI 1598476681
  NPD (past)

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1033096979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 CHARITY HILL RD",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376434771",
            "telephone_number": "423-767-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 VOLUNTEER PKWY",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204659",
            "telephone_number": "423-530-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "SAVANNAH",
        "middle_name": "NOEL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "15655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor White, ATC
• Sharon Lee Whitman, CRNA
• Thomas Lisle Whitman, M.D.
• Carrie Renee Widener, FNP-C
• Caleb Odum Widner, DDS
• Kenan Treh Wilhoit, MD
• William J. Schermer PLLC
• Douglas Paul Williams, MD
• John F Williams, MD
• Kendrick Williams, MD

• All providers in Bristol, TN
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.