Individual provider Active NPI

Robert Dean Brindle, LCSW

  • Clinical Social Worker
  • Englewood, TN
National Provider Identifier
1902113558
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6212 (LCSW LICENSE) Issued in TN
Practice address
3360 Highway 411 N
Englewood, TN 37329-5276
Phone
(423) 887-5131
Fax
(423) 887-5917
NPI assigned
Sep 2, 2010
Last updated
Nov 29, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9377 TN
Clinical Social Worker 1041C0700X 6212 (LCSW LICENSE) TN Primary
Student in an Organized Health Care Education/Training Program 390200000X TN

Addresses

Primary practice location

3360 Highway 411 N
Englewood, TN 37329-5276

Mailing address

6350 W Andrew Johnson Hwy
Department 100
Talbott, TN 37877-8605
Phone (800) 355-3565

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
I20160225001663 TN Practitioner - Clinical Social Worker 8527363795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee Health SystemsGroup PAC ID 3577474295, 128 clinicians

Practice addresses (Care Compare)

3360 Hwy 411 N
Englewood, TN 37329-3269
Phone (423) 887-5131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6212 (LCSW LICENSE)TNMDClinical Social Worker
9377TNMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Health Systems Social Worker CurrentSince Mar 24, 2022 Accepting new patients
Resurrection Health Current Accepting new patients
Cherokee Health Systems CurrentSince Mar 24, 2022 Accepting new patients

Locations

3360 Highway 411 N
Englewood, TN 37329
Phone (423) 887-5131

2018 Western Ave
Knoxville, TN 37921
Phone (865) 544-0406

2574 Frayser Blvd
Memphis, TN 38127
Phone (901) 271-9500

1923 Sulphur Springs Rd
Morristown, TN 37813

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

Interoperability endpoints

  • Direct secure messaging: robert.brindle.p1@direct.cherokeehealth.nextgenshare.com

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, 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": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1902113558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 W ANDREW JOHNSON HWY",
            "address_2": "DEPARTMENT 100",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778605",
            "telephone_number": "800-355-3565",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 HIGHWAY 411 N",
            "city": "ENGLEWOOD",
            "state": "TN",
            "postal_code": "373295276",
            "telephone_number": "423-887-5131",
            "fax_number": "423-887-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINDLE",
        "first_name": "ROBERT",
        "middle_name": "DEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-02",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "9377",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6212 (LCSW LICENSE)",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, TN

Sources for this page

Verify at the official NPI Registry.