Active NPI
Caroline Russe, LCSW
- Clinical Social Worker
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8651
- Practice address
- 1415 Old Weisgarber Rd Ste 360
Knoxville, TN 37909-1381 - Phone
- (865) 588-3173
- NPI assigned
- Jan 11, 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 | 8651 | TN | Primary |
Addresses
Primary practice location
1415 Old Weisgarber Rd Ste 360
Knoxville, TN 37909-1381
Mailing address
1415 Old Weisgarber Rd Ste 360
Knoxville, TN 37909-1381
Phone (865) 588-3173
Other practice location 1
192B Market Place Blvd
Knoxville, TN 37922-2337
Phone (658) 212-6600
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 Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 Old Weisgarber Rd
Suite 360
Knoxville, TN 37909-1327
Phone (865) 588-3173
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8651 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of North Carolina, P.C. | Clinical | Current | Accepting new patients |
| Mental Health Resources, PLLC | Current | Accepting new patients | |
| Optum Behavioral Care of North Carolina, PC | Current | Accepting new patients | |
| Healthy Mind Counseling Services, Inc | Clinical | Current | Accepting new patients |
Locations
1090 Tamiami Trl
Sarasota, FL 34236
Phone 94136308782005
6305 Lonas Dr
Ste 101
Knoxville, TN 37909
Phone (865) 584-0291
194 Market Place Blvd
#B
Knoxville, TN 37922
Phone (865) 212-6600
162 Market Place Blvd
#D
Knoxville, TN 37922
Phone (865) 212-6600
192B Market Place Blvd
Knoxville, TN 37922
Phone (658) 212-6600
1415 Old Weisgarber Rd
Ste 360
Knoxville, TN 37909
Phone (865) 345-4557
Organizations & group practices 4
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.
-
- Clinical Social Worker
- Knoxville, TN
- NPI 1457409898
-
- Clinic/Center
- Germantown, TN
- NPI 1922034503
-
- Counseling Psychologist
- Knoxville, TN
- NPI 1083480081
-
- Clinical Social Worker
- Gulfport, MS
- NPI 1861371718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1285223792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 OLD WEISGARBER RD STE 360",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379091381",
"telephone_number": "865-588-3173",
"fax_number": "865-588-3174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 OLD WEISGARBER RD STE 360",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379091381",
"telephone_number": "865-588-3173"
}
],
"practiceLocations": [
{
"address_1": "192B Market Place Blvd",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379222337",
"country_code": "US",
"telephone_number": "658-212-6600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSE",
"first_name": "CAROLINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "8651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.