Active NPI
Marlenny Phoenix
- Social Worker
- Chattanooga, TN
National Provider Identifier
1982136099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11167
- Practice address
- 1635 Chestnut St
Chattanooga, TN 37408-1024 - Phone
- (423) 999-9555
- NPI assigned
- Mar 29, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11167 | TN | Primary |
Addresses
Primary practice location
1635 Chestnut St
Chattanooga, TN 37408-1024
Mailing address
301 S Perimeter Park Dr Ste 210
Nashville, TN 37211-4128
Other practice location 1
406 N Spring St
McMinnville, TN 37110-2134
Phone (731) 394-1145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230928003473 | FL | Practitioner - Clinical Social Worker | 2062866742 | Reassigns benefits to 1 organization |
| I20250523001597 | TN | Practitioner - Clinical Social Worker | 2062866742 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11167 | TN | MD | Social Worker |
| 7050 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cotler Healthcare & Development Inc. | Current | Accepting new patients | |
| Omni Community Health, Inc. | Past | Accepting new patients |
Locations
901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109
9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467
3101 Ginger Dr
Tallahassee, FL 32308
Phone (850) 877-2177
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wellington, FL
- NPI 1225075047
FL
-
- Community/Behavioral Health Agency
- Knoxville, TN
- NPI 1881024172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1982136099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S PERIMETER PARK DR STE 210",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372114128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 CHESTNUT ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374081024",
"telephone_number": "423-999-9555"
}
],
"practiceLocations": [
{
"address_1": "406 N Spring St",
"address_purpose": "LOCATION",
"city": "McMinnville",
"state": "TN",
"postal_code": "371102134",
"country_code": "US",
"telephone_number": "731-394-1145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHOENIX",
"first_name": "MARLENNY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-29",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "11167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
- William M Phillips, DDS
- James L. Philpott, TH.D.
- Roy Allen Phipps, RPH
- Vanessa Haynes Phipps, CPNP
- Phoenix Health PLLC
- Physical Therapy Associates of Chattanooga, Inc
- Physicians Care PT
- Physicians Reference Laboratory, Inc.
- Physicians Surgery Center of Chattanooga, LLC
- Physicians Surgery Center of Chattanooga, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.