Individual provider Active NPI

Marlenny Phoenix

  • Social Worker
  • Chattanooga, TN
National Provider Identifier
1982136099
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11167 Issued in TN
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

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
11167TNMDSocial Worker
7050TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cotler Healthcare & Development Inc. CurrentSince Aug 15, 2023 Accepting new patients
Omni Community Health, Inc. PastSince Feb 3, 2020 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.

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

Sources for this page

Verify at the official NPI Registry.