Active NPI
Mary Andrews, LCSW
- Clinical Social Worker
- Chattanooga, TN
National Provider Identifier
1578740643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 414
- Practice address
- 600 N Holtzclaw Ave
Suite 100
Chattanooga, TN 37404-1242 - Phone
- (423) 622-0500
- Fax
- (423) 622-0564
- NPI assigned
- Jan 30, 2008
- Sex
- Female
- Sole proprietor
- No
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.
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 |
|---|---|---|---|
| 414 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Centers Inc | Clinical | Past | Accepting new patients |
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 | 414 | TN | Primary |
Addresses
Primary practice location
600 N Holtzclaw Ave
Suite 100
Chattanooga, TN 37404-1242
Mailing address
600 N Holtzclaw Ave
Suite 100
Chattanooga, TN 37404-1242
Phone (423) 622-0500
Other names 1
- Mary Brock
NPI Registry JSON
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1578740643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N HOLTZCLAW AVE",
"address_2": "SUITE 100",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041242",
"telephone_number": "423-622-0500",
"fax_number": "423-622-0564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N HOLTZCLAW AVE",
"address_2": "SUITE 100",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041242",
"telephone_number": "423-622-0500",
"fax_number": "423-622-0564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "MARY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-30",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "BROCK",
"credential": "LCSW",
"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 Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.