Individual provider Active NPI

Macquanetta Denise Robinson, LCSW

  • Clinical Social Worker
  • Chattanooga, TN
National Provider Identifier
1942643879
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7472 Issued in TN
Practice address
4819 Highway 58 Ste 101
Chattanooga, TN 37416-1869
Phone
(423) 544-2773
Fax
(866) 446-0276
NPI assigned
Apr 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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 7472 TN Primary

Addresses

Primary practice location

4819 Highway 58 Ste 101
Chattanooga, TN 37416-1869

Mailing address

4819 Highway 58 Ste 101
Chattanooga, TN 37416-1869
Phone (423) 544-2773

Other identifiers 2

IdentifierTypeStateIssuer
Q111689MedicaidTN
Q081934MedicaidTN

Other names 1

  • Mackie Robinson Other name

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
I20210924000316 TN Practitioner - Clinical Social Worker 0648677245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1942643879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 HIGHWAY 58 STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374161869",
            "telephone_number": "423-544-2773",
            "fax_number": "866-446-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4819 HIGHWAY 58 STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374161869",
            "telephone_number": "423-544-2773",
            "fax_number": "866-446-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MACQUANETTA",
        "middle_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q111689",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q081934",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKIE",
            "last_name": "ROBINSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.