Active NPI
Carla V Winchester, LCSW
- Clinical Social Worker
- Alcoa, TN
National Provider Identifier
1306994033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3876
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3876 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.