Individual provider Active NPI

Catherine H Rogers, LCSW

  • Clinical Social Worker
  • Chattanooga, TN
National Provider Identifier
1700825874
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW4238 Issued in TN
Practice address
6918 Shallowford Rd
Suite 317
Chattanooga, TN 37421-6784
Phone
(423) 855-7977
Fax
(423) 855-7976
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 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 LSW4238 TN Primary

Addresses

Primary practice location

6918 Shallowford Rd
Suite 317
Chattanooga, TN 37421-6784

Mailing address

6918 Shallowford Rd
Suite 317
Chattanooga, TN 37421-6784
Phone (423) 855-7977

Other identifiers 1

IdentifierTypeStateIssuer
3925423MedicaidTN

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
I20101215000717 TN Practitioner - Clinical Social Worker 0042304529 Reassigns benefits to 1 organization
Practice locations: Chattanooga, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspring Therapy Services LLCGroup PAC ID 7012370109, 7 clinicians

Practice addresses (Care Compare)

6918 Shallowford Rd
Suite 317
Chattanooga, TN 37421-1783
Phone (423) 855-7977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW4238TNMDClinical Social Worker
4238TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Therapy Services, LLC Clinical CurrentSince May 15, 2023 Accepting new patients
Transitions Counseling LLC Clinical Past Accepting new patients

Locations

6918 Shallowford Rd
Ste 317
Chattanooga, TN 37421
Phone (423) 827-7695

Organizations & group practices 2

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1700825874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 SHALLOWFORD RD",
            "address_2": "SUITE 317",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216784",
            "telephone_number": "423-855-7977",
            "fax_number": "423-855-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 SHALLOWFORD RD",
            "address_2": "SUITE 317",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216784",
            "telephone_number": "423-855-7977",
            "fax_number": "423-855-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "CATHERINE",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW4238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3925423",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.