Individual provider Active NPI

Susan Mae Ringle, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1801894019
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW4207 Issued in TN
Practice address
9724 Kingston Pike Ste 405
Knoxville, TN 37922-6912
Phone
(865) 441-8601
Fax
(865) 816-3215
NPI assigned
Jul 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 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 LSW4207 TN Primary

Addresses

Primary practice location

9724 Kingston Pike Ste 405
Knoxville, TN 37922-6912

Mailing address

218 Battlecreek Way
Lenoir City, TN 37772-6145
Phone (865) 607-7419

Other identifiers 1

IdentifierTypeStateIssuer
3924901MedicaidTN

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
I20070221000044 TN Practitioner - Clinical Social Worker 8123120268 Reassigns benefits to 1 organization
Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10414 Jackson Oaks Way
Suite 102
Knoxville, TN 37922-0703
Phone (865) 441-8601

218 Battlecreek Way
Lenoir City, TN 37772-6145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW4207TNMDClinical Social Worker
4207TNMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
BMSC Az LLC Clinical CurrentSince May 10, 2022 Accepting new patients
Cherokee Health Systems Past Accepting new patients
Cherokee Health Systems Past Accepting new patients
Healthy Mind Counseling Services, Inc Clinical PastSince Jul 28, 2012 Accepting new patients

Locations

10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1801894019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 BATTLECREEK WAY",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377726145",
            "telephone_number": "865-607-7419",
            "fax_number": "865-816-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9724 KINGSTON PIKE STE 405",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226912",
            "telephone_number": "865-441-8601",
            "fax_number": "865-816-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINGLE",
        "first_name": "SUSAN",
        "middle_name": "MAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW4207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3924901",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.