Natalie Grace Wigle, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000007194 Issued in TN

Practice address

508 Princeton Rd Ste 403
Johnson City, TN 37601-2064

Phone

(888) 214-2144

Fax

(866) 693-2298

NPI assigned

Nov 14, 2019

Last updated

May 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, FL2 enrollments

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 2

Specialty

Clinical Social Worker

Education

East Tennessee State University Quillen College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RevitalistGroup PAC ID 6800295650, 3 clinicians

Valor Health SolutionsGroup PAC ID 3375036924, 2 clinicians

Practice addresses (Care Compare)

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

• Revitalist

  • Community/Behavioral Health Agency
  • Knoxville, TN
  • NPI 1073168241

  FL, Mental Health

  Medicare reassignment Care Compare group NPD
• Valor Health Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winter Haven, FL
  • NPI 1902778079

  TN

  Medicare reassignment Care Compare group NPD
• East Tennessee State University

  dba Johnson City Downtown Clinic Day Center

  • Federally Qualified Health Center (FQHC)
  • Johnson City, TN
  • NPI 1093990608
  Medicare reassignment NPD
• East Tennessee State University

  dba Johnson City Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Johnson City, TN
  • NPI 1477660199
  NPD

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1710522636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MANDOLIN DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843581",
            "telephone_number": "888-214-2144",
            "fax_number": "866-693-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 PRINCETON RD STE 403",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012064",
            "telephone_number": "888-214-2144",
            "fax_number": "866-693-2298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4625 E Bay Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337646866",
            "country_code": "US",
            "telephone_number": "888-214-2144",
            "fax_number": "866-693-2298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGLE",
        "first_name": "NATALIE",
        "middle_name": "GRACE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000007194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon M Wiederholt, RD,LDN,CDE
• Clifford Frank Wiegand, MD
• Alexis Nikol Wiemer
• Kayla Wienczkowski, M.D.
• Robert Lloyd Wiggins, RPH
• Casey James Wilbert, PHARM.D
• Wendy R Wilgus, APN
• Michael Todd Wilkerson, FNP-C
• Brittany Wilkins, PH.D., L.C.S.W.
• Garrett Ronald Wilkins, PA

• Clinical Social Worker in Johnson City, TN
• Providers in Johnson City, 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 May 22, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.