Individual provider Active NPI

Carla V Winchester, LCSW

  • Clinical Social Worker
  • Alcoa, TN
National Provider Identifier
1306994033
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3876 Issued in TN
Practice address
356 Sanderson St Ste C3
Alcoa, TN 37701-2447
Phone
(865) 382-3732
Fax
(865) 238-2088
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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 3876 TN Primary

Addresses

Primary practice location

356 Sanderson St Ste C3
Alcoa, TN 37701-2447

Mailing address

2930 Sagegrass Dr
Louisville, TN 37777-3574
Phone (865) 382-3732

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
I20040813000770 TN Practitioner - Clinical Social Worker 3072586510 Practice locations: Alcoa, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

356 Sanderson St
Suite C2
Alcoa, TN 37701-2428

356 Sanderson St
Suite C3
Alcoa, TN 37701-2447
Phone (865) 382-3732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3876TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Counseling Center PLLC Clinical Past Accepting new patients
Lifeline Center, PLLC Clinical Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1306994033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 SAGEGRASS DR",
            "city": "LOUISVILLE",
            "state": "TN",
            "postal_code": "377773574",
            "telephone_number": "865-382-3732",
            "fax_number": "865-238-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 SANDERSON ST STE C3",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377012447",
            "telephone_number": "865-382-3732",
            "fax_number": "865-238-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINCHESTER",
        "first_name": "CARLA",
        "middle_name": "V",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "3876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alcoa, TN

Sources for this page

Verify at the official NPI Registry.