Jacqui Renee Schollenberger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5469 Issued in TN

Practice address

1119 N Main Ave
Erwin, TN 37650-1507

Phone

(423) 220-3990

NPI assigned

Aug 7, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cherokee Health Systems

  • Federally Qualified Health Center (FQHC)
  • Talbott, TN
  • NPI 1134128820
  Medicare reassignment NPD
• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  TN

  Medicare reassignment NPD
• Cherokee Health Systems

  • Federally Qualified Health Center (FQHC)
  • White Pine, TN
  • NPI 1699666404
  NPD
• Higher Ground Counseling PLLC

  • Professional Counselor
  • Erwin, TN
  • NPI 1568244531
  NPD

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1629400148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501507",
            "telephone_number": "423-220-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501507",
            "telephone_number": "423-220-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLLENBERGER",
        "first_name": "JACQUI",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry L Roller, D.PH.
• Christa Rosier, CCC, SLP
• Rural Health Services Consortium of Upper East Tennessee Inc
• Rebecca Sacora, M.D.
• Marc Winter Schlemmer, RPH
• Wanda S Shelton, FNP
• Charlotte Freeman Shores, BSW
• Candace Simerly, PT
• John Slaughter, PHARM.D.
• Trula Jean Sneyd, CNA 2

• Clinical Social Worker in Erwin, TN
• Providers in Erwin, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.