Individual provider Active NPI

Denise C Powell, LCSW

  • Clinical Social Worker
  • Chattanooga, TN
National Provider Identifier
1437108883
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000004444 Issued in TN
Practice address
6918 Shallowford Rd
Suite 317
Chattanooga, TN 37421-6784
Phone
(423) 855-7977
Fax
(423) 855-7976
NPI assigned
May 10, 2006
Last updated
Oct 3, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 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 LSW0000004444 TN Primary

Addresses

Primary practice location

6918 Shallowford Rd
Suite 317
Chattanooga, TN 37421-6784

Mailing address

8810 Hurricane Manor TRL
Chattanooga, TN 37421-4524
Phone (423) 855-7977

Other identifiers 2

IdentifierTypeStateIssuer
0408238OtherTNBCBS PROVIDER ID
LSW0000004444OtherTNLCSW

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041120000006 TN Practitioner - Clinical Social Worker 3870558745 Practice locations: Chattanooga, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6918 Shallowford Rd
Suite 317
Chattanooga, TN 37421-1783
Phone (423) 855-7977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW0000004444TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Counseling LLC Clinical Past Accepting new patients
Wellspring Therapy Services, LLC Clinical PastSince May 21, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1437108883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8810 HURRICANE MANOR TRL",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214524",
            "telephone_number": "423-855-7977",
            "fax_number": "423-855-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 SHALLOWFORD RD",
            "address_2": "SUITE 317",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216784",
            "telephone_number": "423-855-7977",
            "fax_number": "423-855-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "DENISE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000004444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "0408238",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "LSW0000004444",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.