Vickie Harris Startup, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0000004689 Issued in TN

Practice address

509 N Cedar Ave
Cookeville, TN 38501-1707

Phone

(931) 520-8435

Fax

(931) 372-7225

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942239678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HEATHER GLEN CIR",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385586434",
            "telephone_number": "931-265-5350",
            "fax_number": "931-372-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N CEDAR AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011707",
            "telephone_number": "931-520-8435",
            "fax_number": "931-372-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARTUP",
        "first_name": "VICKIE",
        "middle_name": "HARRIS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "0000004689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Stalvey, PT
• Kristen Michelle Stanford
• Winston Diondre Stanford
• Audra Stangenberg
• George Allen Starkweather, M.D.
• State of Tennessee
• State of Tennessee
• State of Tennessee
• Brent Davis Staton, M.D.
• Caitlin Staton, LPC-MHSP

• Clinical Social Worker in Cookeville, TN
• Providers in Cookeville, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.