Individual provider Active NPI

Kathleen R Scott, LCSW

  • Clinical Social Worker
  • Chattanooga, TN
National Provider Identifier
1316922404
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0482 Issued in TN
Practice address
6216 Airpark Dr
Behavioral Health Associates
Chattanooga, TN 37421-2988
Phone
(423) 899-0024
Fax
(423) 899-5688
NPI assigned
Dec 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LSW0482 TN Primary

Addresses

Primary practice location

6216 Airpark Dr
Behavioral Health Associates
Chattanooga, TN 37421-2988

Mailing address

6216 Airpark Dr
Behavioral Health Associates
Chattanooga, TN 37421-2988
Phone (423) 899-0024

Other identifiers 2

IdentifierTypeStateIssuer
3697588MedicaidTN
3069669OtherBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW0482TNMDClinical Social Worker
482TNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Recovery, PLLC CurrentSince Jul 1, 2020 Accepting new patients
Chattanooga Skin & Cancer Clinic Past Accepting new patients

Locations

6141 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 498-2000

6141 Shallowford Rd
Ste 100
Chattanooga, TN 37421
Phone (423) 498-2000

2640 Ralph Buckner Blvd NE
Cleveland, TN 37311

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": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316922404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 AIRPARK DR",
            "address_2": "BEHAVIORAL HEALTH ASSOCIATES",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212988",
            "telephone_number": "423-899-0024",
            "fax_number": "423-899-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 AIRPARK DR",
            "address_2": "BEHAVIORAL HEALTH ASSOCIATES",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212988",
            "telephone_number": "423-899-0024",
            "fax_number": "423-899-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KATHLEEN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3697588",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3069669",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.