Brandy Nicole Carraway, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000005602 Issued in TN

Practice address

2991 Fort Henry Dr
Kingsport, TN 37664-4005

Phone

(423) 392-2975

Fax

(423) 392-2983

NPI assigned

Jun 7, 2012

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

State licenses

Practice roles

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.

• Camelot Care Centers

  • Community/Behavioral Health Agency
  • Kingsport, TN
  • NPI 1700086725
  NPD (past)
• Camelot Care Centers, LLC

  • Community/Behavioral Health Agency
  • Nashville, TN
  • NPI 1831397645
  NPD (past)

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1962763896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2991 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376644005",
            "telephone_number": "423-392-2975",
            "fax_number": "423-392-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2991 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376644005",
            "telephone_number": "423-392-2975",
            "fax_number": "423-392-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRAWAY",
        "first_name": "BRANDY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000005602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Torrey Jon Carlson, O.D.
• Foy Lynn Carmichael, PT
• Kyle T Caron, DO
• Nathan McLain Carpenter
• Russell Wayne Carr, PT, DPT
• Marcy Carrier
• Sarah Nicole Carrier, APRN-BC
• Ashley C. Carroll, NP
• Daniel D Carroll, MD
• Deborah Elaine Carson, PHARMD

• Clinical Social Worker in Kingsport, TN
• Providers in Kingsport, 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 Jun 7, 2012; 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.