John W Oldham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0957 Issued in TN

Practice address

4066 Hixson Pike
Chattanooga, TN 37415-3110

Phone

(423) 870-5650

Fax

(423) 870-5638

NPI assigned

Jan 18, 2007

Sex

Male

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 1

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

Specialty

Clinical Social Worker

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Transformation CenterGroup PAC ID 6800137209, 8 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 and National Provider Directory roles.

• The Transformation Center

  • Professional Counselor
  • Chattanooga, TN
  • NPI 1518117597
  Medicare reassignment Care Compare group NPD
• Beyoutiful Skin and Laser Center

  • Family Nurse Practitioner
  • Chattanooga, TN
  • NPI 1952724213
  NPD (past)
• Healthforce Corporation

  • Family Medicine Physician
  • Hixson, TN
  • NPI 1205882529
  NPD (past)
• New Beginnings Counseling Center PLLC

  • Adult Mental Health Clinic/Center
  • Chattanooga, TN
  • NPI 1265509137
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770635708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 HIXSON PIKE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153110",
            "telephone_number": "423-870-5650",
            "fax_number": "423-870-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 HIXSON PIKE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153110",
            "telephone_number": "423-870-5650",
            "fax_number": "423-870-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0142829",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Ruth Ogle, FNP-C
• Brenda T Oglesby, NP
• Ogr Home Care Services
• Henry Tobechi Okafor, M.D.
• Thomas Okulski, MD
• Gregory D. Olds, MD
• Sarah K Olds, NP-C
• Andrew Stuart Olinger, MD
• Rebecca S Olive, CRNA
• Oliver L Gregory MD

• 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 8, 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.