Carole Lovell, PSYD LCSW
Individual provider Active NPI Clinical Social Worker · Cookeville, TN
NPI 1952383085 · NPPES record last updated May 19, 2011
Key facts
- NPI
- 1952383085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0000001169 (TN)
- Practice address
- 509 N Cedar Ave
Cookeville, TN 38501-1707 - Phone
- (931) 520-8435
- Fax
- (931) 372-7225
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Personal Development Center, Inc.
Practice addresses (Care Compare)
509 N Cedar Ave
Cookeville, TN 38501-1707
Phone (931) 520-8435
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071116000263 | TN | Practitioner - Clinical Social Worker | 3678586039 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1169 | TN | MD | Audiologist-Hearing Aid Fitter |
| 0000001169 | TN | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Development Center, Inc. | Current |
Accepting new patients |
Locations
509 N Cedar Ave
Cookeville, TN 38501
Phone (931) 520-8435
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0000001169 | TN | Yes |
Addresses
Primary practice location
509 N Cedar Ave
Cookeville, TN 38501-1707
Mailing address
509 N Cedar Ave
Cookeville, TN 38501-1707
Phone (931) 520-8435
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3694460 | Medicaid | TN |
Other providers in Cookeville, TN
- Jennifer Loh
- April Danielle Looper
- Leslie Looper
- Rebeca Lopez Hernandez
- Anne Loubier
- Lisa A Lovell
- Mark Lovell
- Sherrie Lynn Lowe
- LP Cookeville, LLC
- Phillip H Lucas
All providers in Cookeville, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.