Individual provider Active NPI

Lori Chaney, LCSW

  • Clinical Social Worker
  • Sparta, TN
National Provider Identifier
1619671070
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
164 Churchill Dr
Sparta, TN 38583-1525
Phone
(931) 246-9449
Fax
(931) 256-8548
NPI assigned
Mar 29, 2023
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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 NU Primary

Addresses

Primary practice location

164 Churchill Dr
Sparta, TN 38583-1525

Mailing address

164 Churchill Dr
Sparta, TN 38583-1525
Phone (931) 246-9449

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
I20230706000642 TN Practitioner - Clinical Social Worker 8022487511 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Insightful Pediatric and Family Therapy, LLC CurrentSince Oct 15, 2018 Accepting new patients

Locations

150 N Willow Ave
Cookeville, TN 38501
Phone (931) 246-9449

1696 W Broad St
Cookeville, TN 38501
Phone (931) 263-8908

164 Churchill Dr
Sparta, TN 38583
Phone (931) 246-9449

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1619671070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 CHURCHILL DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831525",
            "telephone_number": "931-246-9449",
            "fax_number": "931-256-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 CHURCHILL DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831525",
            "telephone_number": "931-246-9449",
            "fax_number": "931-256-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "LORI",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, TN

Sources for this page

Verify at the official NPI Registry.