Individual provider Active NPI

Alisa Jorstad

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1770240616
Registry record updated Nov 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5296 Issued in TN
Practice address
749 Templeton Dr
Nashville, TN 37205-1211
Phone
(615) 594-3662
NPI assigned
Nov 28, 2021
Last updated
Nov 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2021

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 5296 TN Primary

Addresses

Primary practice location

749 Templeton Dr
Nashville, TN 37205-1211

Mailing address

749 Templeton Dr
Nashville, TN 37205-1211
Phone (615) 594-3662

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.gmail.com

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
I20250603003204 TN Practitioner - Clinical Social Worker 7416477336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians

Practice addresses (Care Compare)

1720 Gunbarrel Rd
Suite 204
Chattanooga, TN 37421-3192
Phone (423) 553-8556

2014 S Orange Ave
Suite 100
Orlando, FL 32806-3069
Phone (407) 649-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Jan 21, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Jan 21, 2025 Accepting new patients

Locations

819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234

2014 S Orange Ave
Ste 100
Orlando, FL 32806
Phone (407) 603-3900

11 Florida Park Dr N
Palm Coast, FL 32137
Phone (386) 251-5509

922 E Call St
Starke, FL 32091
Phone (904) 368-2300

1720 Gunbarrel Rd
Ste 204
Chattanooga, TN 37421
Phone (423) 533-8556

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171

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

NPI Registry JSON

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638057600000",
    "number": "1770240616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 TEMPLETON DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051211",
            "telephone_number": "615-594-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 TEMPLETON DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051211",
            "telephone_number": "615-594-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORSTAD",
        "first_name": "ALISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-28",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.gmail.com",
            "affiliation": "N",
            "address_1": "749 Templeton Dr",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372051211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.