Active NPI
Adriene Petmecky, LCSW, CT
- Clinical Social Worker
- Chattanooga, TN
National Provider Identifier
1326534835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4826
- Practice address
- 199 River St Ste a
Chattanooga, TN 37405-4007 - Phone
- (423) 356-2522
- NPI assigned
- Jul 9, 2018
- 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 | 4826 | TN | Primary |
Addresses
Primary practice location
199 River St Ste a
Chattanooga, TN 37405-4007
Mailing address
134 N Market St Unit 4302
Chattanooga, TN 37405-4359
Phone (423) 356-2522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4826 | TN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1326534835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 N MARKET ST UNIT 4302",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374054359",
"telephone_number": "423-356-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 RIVER ST STE A",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374054007",
"telephone_number": "423-356-2522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETMECKY",
"first_name": "ADRIENE",
"credential": "LCSW, CT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-09",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "4826",
"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 Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.