Organization Active NPI

Self-Care Corner

  • Clinical Social Worker
  • Chattanooga, TN
National Provider Identifier
1710645031
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SELF-CARE CORNER
Practice address
5751 Uptain Rd Ste 509
Chattanooga, TN 37411-5675
Phone
(423) 400-0107
Fax
(800) 470-1905
NPI assigned
Dec 3, 2021
Last updated
Sep 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Latoya Carpenter, LCSW
Title
Owner
Phone
(423) 400-0107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

5751 Uptain Rd Ste 509
Chattanooga, TN 37411-5675

Mailing address

5751 Uptain Rd Ste 509
Chattanooga, TN 37411-5675
Phone (423) 400-0107

Other identifiers 1

IdentifierTypeStateIssuer
Q070698MedicaidTN

National Provider Directory

National Provider Directory

Locations

5751 Uptain Rd
Ste 509
Chattanooga, TN 37411
Phone (423) 400-0107

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1710645031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 UPTAIN RD STE 509",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115675",
            "telephone_number": "423-400-0107",
            "fax_number": "800-470-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 UPTAIN RD STE 509",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115675",
            "telephone_number": "423-400-0107",
            "fax_number": "800-470-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF-CARE CORNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-400-0107",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q070698",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.