Active NPI
Shanae Love Pietrzycki, LCSW
- Clinical Social Worker
- Chattanooga, TN
National Provider Identifier
1114510484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7337
- Practice address
- 311 Vista Dr
Chattanooga, TN 37411-4423 - Phone
- (520) 610-1547
- NPI assigned
- Feb 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7337 | TN | Primary |
Addresses
Primary practice location
311 Vista Dr
Chattanooga, TN 37411-4423
Mailing address
311 Vista Dr
Chattanooga, TN 37411-4423
Phone (520) 610-1547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7337 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1114510484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 VISTA DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374114423",
"telephone_number": "520-610-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 VISTA DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374114423",
"telephone_number": "520-610-1547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETRZYCKI",
"first_name": "SHANAE",
"middle_name": "LOVE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-17",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "7337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.