Wendy Kilpatrick Bovell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4277 Issued in TN

Practice address

101 Jordan Dr
Chattanooga, TN 37421-6732

Phone

(423) 510-1999

Fax

(423) 510-1888

NPI assigned

Nov 2, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN, NC2 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

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clientfirst of NC, LLCGroup PAC ID 7517099617, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/sperohealth/r4/

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.

• Clientfirst of NC, LLC

  • Community/Behavioral Health Agency
  • Goldsboro, NC
  • NPI 1548582554
  Medicare reassignment Care Compare group NPD
• Spero Health of Tennessee, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Smyrna, TN
  • NPI 1538628904
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, TN

  Medicare reassignment NPD
• Sarath B Gangavarapu MD PC

  • Psychiatry Physician
  • Cleveland, TN
  • NPI 1427071380
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720079379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8533",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37414",
            "telephone_number": "423-304-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JORDAN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216732",
            "telephone_number": "423-510-1999",
            "fax_number": "423-510-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVELL",
        "first_name": "WENDY",
        "middle_name": "KILPATRICK",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VMC",
            "identifier": "022634",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3925616",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "213933",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4045771",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boulder Top Pain & Spine PLLC
• Morgan Alexandra Boulware, PT, DPT
• Nadine Theresa Bourg, CERTIFIED ORTHOTIST
• Killman Josue Boutet, RN
• Mary Teresa Bouthner, CCMA
• Claude James Bowden
• Alexander Morris Bowen
• Dean Leroy Bowen, PMHNP-BC (APRA)
• Jennifer Bowen, RN
• Jennifer Grosso Bower, CRNA

• Clinical Social Worker in Chattanooga, TN
• Providers in Chattanooga, 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 Jul 9, 2007; 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.