Active NPI
Kathleen Engel, LCSW
- Clinical Social Worker
- Oakland, TN
National Provider Identifier
1235640863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5081
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 331585018 | Other | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.19 of 100
- Quality
- 75
- Improvement activities
- 40
- Cost
- 69.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5081 | TN | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step Up Care of Tennessee LLC | Current | Accepting new patients | |
| Restore Therapy Group | Clinical | Current | 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.
-
- Psychologist
- Memphis, TN
- NPI 1023660206
-
- Clinical Social Worker
- Germantown, TN
- NPI 1740066331
-
- Professional Counselor
- Memphis, TN
- NPI 1386008837
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.