Active NPI
Kelli Alise Cruse
- Clinical Social Worker
- Chattanooga, TN
National Provider Identifier
1568390961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16089
- Practice address
- 6918 Shallowford Rd Ste 326
Chattanooga, TN 37421-1553 - Phone
- (423) 827-7695
- NPI assigned
- May 13, 2026
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16089 | TN | Primary |
Addresses
Primary practice location
6918 Shallowford Rd Ste 326
Chattanooga, TN 37421-1553
Mailing address
736 Carrol Dr
Ringgold, GA 30736-8452
Phone (423) 888-2122
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16089 | TN | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1568390961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 CARROL DR",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307368452",
"telephone_number": "423-888-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6918 SHALLOWFORD RD STE 326",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211553",
"telephone_number": "423-827-7695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUSE",
"first_name": "KELLI",
"middle_name": "ALISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-13",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "16089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
- Jessica Kathryn Crowe, OTR/L
- William Charles Crowe Jr., MSN, ACNP-BC
- Laura Crowley, MSN
- Charles A Crump Jr., MD
- Sarah Crump, AGACNP-BC
- Crux Chiropractic (Crux Chiropractic (Dr. Evana Makhoul, DC and Dr. Justin Lucia, DC))
- Carlos Cruz, MD
- Jan Renee Crye, OTR
- CSS Transportation Incorporated
- Ctr. for Individ. & Family Effectiveness
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.