Individual provider Active NPI

Kathleen Engel, LCSW

  • Clinical Social Worker
  • Oakland, TN
National Provider Identifier
1235640863
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5081 Issued in TN
Practice address
100 Cole Creek LN
Oakland, TN 38060-1039
Phone
(901) 402-0265
NPI assigned
Oct 23, 2017
Reactivated
Feb 3, 2022
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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 5081 TN Primary

Addresses

Primary practice location

100 Cole Creek LN
Oakland, TN 38060-1039

Mailing address

100 Cole Creek LN
Oakland, TN 38060-1039
Phone (901) 402-0265

Other practice location 1

152 Timber Creek Dr Ste 4
Cordova, TN 38018-4237
Phone (901) 498-9126

Other identifiers 1

IdentifierTypeStateIssuer
331585018OtherBCBS

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
I20210311001252 TN Practitioner - Clinical Social Worker 5698181998 Reassigns benefits to 1 organization
Practice locations: Oakland, TN

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.19 of 100Reported as group
Quality
75
Improvement activities
40
Cost
69.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5081TNMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care of Tennessee LLC CurrentSince Aug 15, 2023 Accepting new patients
Restore Therapy Group Clinical CurrentSince Oct 1, 2025 Accepting new patients
Ferren Family Counseling LLC Past Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1250 Farrow Rd
Memphis, TN 38116
Phone (901) 305-0878

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1235640863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COLE CREEK LN",
            "city": "OAKLAND",
            "state": "TN",
            "postal_code": "380601039",
            "telephone_number": "901-402-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLE CREEK LN",
            "city": "OAKLAND",
            "state": "TN",
            "postal_code": "380601039",
            "telephone_number": "901-402-0265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "152 Timber Creek Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380184237",
            "country_code": "US",
            "telephone_number": "901-498-9126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "KATHLEEN",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "deactivation_date": "2022-01-19",
        "reactivation_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "331585018",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, TN

Sources for this page

Verify at the official NPI Registry.