Individual provider Active NPI

Carly Wolfinger Hedrick, LCSW

  • Clinical Social Worker
  • Johnson City, TN
National Provider Identifier
1558076497
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0000008383 Issued in TN
Practice address
2112 N Roan St Ste 300
Johnson City, TN 37601-2519
Phone
(865) 588-3173
NPI assigned
Jan 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 0000008383 TN Primary

Addresses

Primary practice location

2112 N Roan St Ste 300
Johnson City, TN 37601-2519

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (865) 588-3173

Other practice location 1

426 E G St
Elizabethton, TN 37643-3224
Phone (423) 547-5950

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
I20230515000252 TN Practitioner - Clinical Social Worker 2264898485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Mind Counseling Services, IncGroup PAC ID 8325093081, 120 clinicians

Practice addresses (Care Compare)

114 E Unaka Ave
Johnson City, TN 37601-4624
Phone (865) 588-3173

2112 N Roan St
Suite 300
Johnson City, TN 37601-2519
Phone (865) 588-3173

6305 Lonas Dr
Suite 101
Knoxville, TN 37909-3203
Phone (865) 588-3173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000008383TNMDClinical Social Worker
8383TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling Services, Inc Clinical CurrentSince May 1, 2023 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

2112 N Roan St
Ste 300
Johnson City, TN 37601

6305 Lonas Dr
Ste 101
Knoxville, TN 37909
Phone (865) 584-0291

10142 Parkside Dr
Ste 114
Knoxville, TN 37922

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.carlyhedrick@148560.advancedmd-direct.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": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1558076497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "865-588-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 N ROAN ST STE 300",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012519",
            "telephone_number": "865-588-3173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 E G St",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376433224",
            "country_code": "US",
            "telephone_number": "423-547-5950",
            "fax_number": "423-467-3644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "CARLY",
        "middle_name": "WOLFINGER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "0000008383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.