Individual provider Active NPI

Linda Lee Lane, LCSW

  • Clinical Social Worker
  • Chattanooga, TN
National Provider Identifier
1457502049
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000003517 Issued in TN
Practice address
425 Cumberland St
Suite 110
Chattanooga, TN 37404-1909
Phone
(423) 698-0802
NPI assigned
Oct 1, 2008
Last updated
Aug 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW002586 GA
Clinical Social Worker 1041C0700X LSW0000003517 TN Primary

Addresses

Primary practice location

425 Cumberland St
Suite 110
Chattanooga, TN 37404-1909

Mailing address

425 Cumberland St
Suite 110
Chattanooga, TN 37404-1909
Phone (423) 698-0802

Other identifiers 1

IdentifierTypeStateIssuer
LSW0000003517OtherTNPACE

Other names 1

  • Linda Lee Former name

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
CSW002586GAMDClinical Social Worker
LSW0000003517TNMDClinical Social Worker
3517TNMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1457502049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CUMBERLAND ST",
            "address_2": "SUITE 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041909",
            "telephone_number": "423-698-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CUMBERLAND ST",
            "address_2": "SUITE 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041909",
            "telephone_number": "423-698-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "LINDA",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002586",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000003517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACE",
            "identifier": "LSW0000003517",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 10, 2012; 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.