Active NPI
Lauren Cardwell, LCSW
- Clinical Social Worker
- Johnson City, TN
National Provider Identifier
1407433386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8274
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| P012977 | NC | MD | Clinical Social Worker |
| 8274 | TN | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Journey Center for Healing Arts, PLLC | Current | Accepting new patients |
Locations
2700 S Roan St
Ste 435
Johnson City, TN 37601
Phone (423) 401-8041
Interoperability endpoints
- 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.
-
- Mental Health Counselor
- Johnson City, TN
- NPI 1013434828
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.