Active NPI
Raquel Grace Morris, LCSW
- Clinical Social Worker
- Chattanooga, TN
National Provider Identifier
1831657196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 6055 Shallowford Rd
Chattanooga, TN 37421-1688 - Phone
- (423) 266-6751
- NPI assigned
- Mar 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Social Worker | 104100000X |
Addresses
Primary practice location
6055 Shallowford Rd
Chattanooga, TN 37421-1688
Mailing address
201 W Springdale Ave
Knoxville, TN 37917-5158
Phone (865) 637-9711
Other names 1
- Raquel Grace Botero
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Helen Ross McNabb Center | Current | Accepting new patients | |
| Mental Health Centers & Clinics of Tennessee | Past | Accepting new patients |
Locations
6055 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 763-4606
201 W Springdale Ave
Knoxville, TN 37917
Phone (865) 329-9173
200 Tech Center Dr
Knoxville, TN 37912
Phone (865) 329-9124
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Knoxville, TN
- NPI 1659330686
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chattanooga, TN
- NPI 1790811149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1831657196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W SPRINGDALE AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379175158",
"telephone_number": "865-637-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6055 SHALLOWFORD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211688",
"telephone_number": "423-266-6751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "RAQUEL",
"middle_name": "GRACE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-06",
"last_updated": "2024-03-07",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAQUEL",
"last_name": "BOTERO",
"middle_name": "GRACE",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 7, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.