Active NPI
Andrea Terri Vogel, LCSW
- Social Worker
- Morristown, TN
National Provider Identifier
1497756464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0000003336
- Practice address
- 1104 W 4TH North St
Morristown, TN 37814-3847 - Phone
- (423) 317-8482
- Fax
- (423) 317-9901
- NPI assigned
- Aug 2, 2005
- Last updated
- Jun 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 0000003336 | TN | Primary |
Addresses
Primary practice location
1104 W 4TH North St
Morristown, TN 37814-3847
Mailing address
1104 W 4TH North St
Morristown, TN 37814-3847
Phone (423) 317-8482
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4054395 | Other | TN | BLUE CROSS |
| 3696675 | Medicaid | TN |
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 |
|---|---|---|---|
| 0000003336 | TN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkwest Medical Center | Past | Accepting new patients | |
| Parkwest Medical Center | Past | 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.
-
dba Peninsula Lighthouse Peninsula Outpatient Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Knoxville, TN
- NPI 1154303162
-
dba Peninsula Div Parkwest MC
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1497756464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 W 4TH NORTH ST",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378143847",
"telephone_number": "423-317-8482",
"fax_number": "423-317-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 W 4TH NORTH ST",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378143847",
"telephone_number": "423-317-8482",
"fax_number": "423-317-9901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGEL",
"first_name": "ANDREA",
"middle_name": "TERRI",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "0000003336",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4054395",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3696675",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, TN
- Angela May Vie, D.D.S.
- Joshua Vincent, LMFT
- Vitalmedrx
- Vitalmedrx
- Kacey Q. Voelker, MSN, FNP-BC
- Volunteer Healthcare Services, Inc. (Dynamic Therapy)
- Volunteer Healthcare Services, Inc. (Dynamic Therapy)
- Volunteer Healthcare Services, Inc. (Dynamic Physical Therapy)
- Volunteer Radiation Oncology Group PC
- Rosa File Vukaj
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.