Kelly Perrel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000006878 Issued in TN

Practice address

3917 Volunteer Dr Ste 121
Chattanooga, TN 37416-3885

Phone

(423) 541-4187

NPI assigned

Sep 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Camelot Care Centers, LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Nashville, TN
  • NPI 1831397645
  NPD (past)

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

{
    "created_epoch": "1348963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1073864039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SHADY DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374122980",
            "telephone_number": "423-315-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 VOLUNTEER DR STE 121",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374163885",
            "telephone_number": "423-541-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERREL",
        "first_name": "KELLY",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-30",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000006878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Perkins
• Brandi N Perkins, FNP
• Mackenzie Perkins
• Thorton D Perkins, MD
• Wyatt Perkins
• Martha Perrin, R.N.
• Taylor Perrin, BEHAVIOR TECHNICIAN
• Zoe Perrin
• Benjamin Christopher Perry, DDS
• Bruce Duncan Perry

• Clinical Social Worker in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.