Active NPI
Robert Bryan Humphreys, LCSW, ACSW
- Clinical Social Worker
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4837
- Practice address
- 5600 Brainerd Rd Ste A4
Chattanooga, TN 37411-5336 - Phone
- (423) 266-4588
- Fax
- (865) 342-0103
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- 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 | 4837 | TN | Primary |
Addresses
Primary practice location
5600 Brainerd Rd Ste A4
Chattanooga, TN 37411-5336
Mailing address
1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344
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
- University of Tennessee, HSC, College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5600 Brainerd Rd
Chattanooga, TN 37411-5336
Phone (423) 266-4588
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Health Systems | Current | Accepting new patients | |
| Cherokee Health Systems | Current | Accepting new patients |
Locations
5600 Brainerd Rd
Ste A4
Chattanooga, TN 37411
Phone (423) 266-4588
2018 Western Ave
Knoxville, TN 37921
Phone (865) 544-0406
1923 Sulphur Springs Rd
Morristown, TN 37813
6350 W Andrew Johnson Hwy
Talbott, TN 37877
Phone (423) 586-5031
6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031
Interoperability endpoints
- robert.humphreys.p1@direct.cherokeehealth.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Talbott, TN
- NPI 1134128820
-
- Federally Qualified Health Center (FQHC)
- White Pine, TN
- NPI 1699666404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1356401129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 SULPHUR SPRINGS RD",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378135654",
"telephone_number": "423-317-9344",
"fax_number": "423-714-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 BRAINERD RD STE A4",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374115336",
"telephone_number": "423-266-4588",
"fax_number": "865-342-0103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREYS",
"first_name": "ROBERT",
"middle_name": "BRYAN",
"name_prefix": "Mr.",
"credential": "LCSW, ACSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "4837",
"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 Mar 28, 2018; 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.