Individual provider Active NPI

Chelsea Deane Lane, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1568178564
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9117 Issued in TN
Practice address
1240 Tennova Medical Way
Knoxville, TN 37909-3120
Phone
(865) 444-3770
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 13162 SC
Social Worker 104100000X 14584 TN
Clinical Social Worker 1041C0700X 9117 TN Primary

Addresses

Primary practice location

1240 Tennova Medical Way
Knoxville, TN 37909-3120

Mailing address

1709 High St
White Pine, TN 37890-3251
Phone (423) 312-7561

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
I20241121000427 TN Practitioner - Clinical Social Worker 1456886985 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13162SCMDSocial Worker
14584TNMDSocial Worker
9117TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Center for Behavioral Medicine LLC CurrentSince Sep 18, 2024 Accepting new patients

Locations

1240 Tennova Medical Way
Knoxville, TN 37909
Phone (865) 444-3770

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1568178564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 HIGH ST",
            "city": "WHITE PINE",
            "state": "TN",
            "postal_code": "378903251",
            "telephone_number": "423-312-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 TENNOVA MEDICAL WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093120",
            "telephone_number": "865-444-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "CHELSEA",
        "middle_name": "DEANE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "13162",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "14584",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.