NPIMap

Organization Active NPI

Wellspring Therapy Services, LLC

  • Clinical Social Worker
  • Chattanooga, TN
National Provider Identifier
1275224867
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WELLSPRING THERAPY SERVICES, LLC
Practice address
6918 Shallowford Rd Ste 317
Chattanooga, TN 37421-1783
Phone
(423) 503-3199
Fax
(423) 855-7976
NPI assigned
May 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Catherine H Rogers, LCSWNPI 1700825874
Title
Sole Member
Phone
(423) 855-7977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6918 Shallowford Rd Ste 317
Chattanooga, TN 37421-1783

Mailing address

6918 Shallowford Rd Ste 317
Chattanooga, TN 37421-1783
Phone (423) 503-3199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230822002836 TN Part B Supplier - Clinic/Group Practice 7012370109 Receives reassigned benefits from 7 practitioners
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1275224867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 SHALLOWFORD RD STE 317",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211783",
            "telephone_number": "423-503-3199",
            "fax_number": "423-855-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 SHALLOWFORD RD STE 317",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211783",
            "telephone_number": "423-503-3199",
            "fax_number": "423-855-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "423-855-7977",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.