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JUANITA LOUISE CHISM DOSS LCSW
NPI 1114024692
Social Worker - Clinical in Chattanooga, TN

Active since September 19, 2006
6011 SHALLOWFORD RD, CHATTANOOGA, TN 37421(800) 632-6074(866) 341-7509 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juanita Louise Chism Doss Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUANITA LOUISE CHISM DOSS LCSW (NPI 1114024692) is an individual clinical provider in Chattanooga, Tennessee, licensed in Tennessee (LSW0000004313) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1114024692
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJUANITA LOUISE CHISM DOSSCredential: LCSW
Location Address6011 SHALLOWFORD RDChattanooga, TN 37421
Mailing Address233 Stone Ridge CvMedina, TN 38355-8922 · (731) 499-1111
Phone(800) 632-6074
Fax(866) 341-7509
Sole ProprietorNo
Enumeration DateSeptember 19, 2006
Last NPPES UpdateJune 13, 2022
NPPES CertifiedJune 10, 2022
✔ NPI 1114024692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in TN · LSW0000004313✔ Licensed in TN · 4313
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6011 SHALLOWFORD RD, Chattanooga, TN 37421
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Other Names 1

Former Name (1)Juanita Louise Bernard

Other Identifiers 1

Medicaid3927330TN

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NINA DRUCILLA PENNEWELL PH.D.
Psychologist (Clinical)
6011 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (800) 632-6074
SANDRA ANN MILLER LCSW
Social Worker (Clinical)
6011 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (800) 632-6074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juanita Chism Doss's NPI number?

The NPI number for Juanita Chism Doss is 1114024692. It was assigned to this individual provider in the NPPES registry on September 19, 2006. The provider is also known as Juanita Louise Bernard.

Where is Juanita Chism Doss located?

Juanita Chism Doss practices at 6011 Shallowford Rd, Chattanooga, TN 37421. The listed phone number is (800) 632-6074.

What is Juanita Chism Doss's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Juanita Chism Doss was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.