Individual provider Active NPI

Lauren Cardwell, LCSW

  • Clinical Social Worker
  • Johnson City, TN
National Provider Identifier
1407433386
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8274 Issued in TN
Practice address
2700 S Roan St Ste 435
Johnson City, TN 37601-7587
Phone
(423) 408-8041
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P012977 NC
Clinical Social Worker 1041C0700X C014184 NC
Clinical Social Worker 1041C0700X 8274 TN Primary

Addresses

Primary practice location

2700 S Roan St Ste 435
Johnson City, TN 37601-7587

Mailing address

2700 S Roan St Ste 435
Johnson City, TN 37601-7587
Phone (423) 408-8041

Other practice location 1

1440 Environ Way Fl 4
Chapel Hill, NC 27517-4433
Phone (919) 636-5240

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Cardwell@cognitive-psychiatry.com Direct

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

LicenseStateTypeSpecialty
P012977NCMDClinical Social Worker
8274TNMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Journey Center for Healing Arts, PLLC CurrentSince Aug 28, 2022 Accepting new patients

Locations

2700 S Roan St
Ste 435
Johnson City, TN 37601
Phone (423) 401-8041

Interoperability endpoints

  • Direct secure messaging: cardwell@cognitive-psychiatry.com

Organizations & group practices 1

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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1407433386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S ROAN ST STE 435",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376017587",
            "telephone_number": "423-408-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S ROAN ST STE 435",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376017587",
            "telephone_number": "423-408-8041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 Environ Way Fl 4",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275174433",
            "country_code": "US",
            "telephone_number": "919-636-5240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDWELL",
        "first_name": "LAUREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012977",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014184",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cardwell@cognitive-psychiatry.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1440 Environ Way Fl 4",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275174433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.