LISA WINKLE CMSW
NPI 1154449031
Social Worker in Oak Ridge, TN

NPI Status: Active since March 27, 2007

Contact Information

240 W TYRONE RD
OAK RIDGE, TN
ZIP 37830
Phone: (865) 482-1076
Fax: (865) 481-6179

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  • Individual
  • Female
  • Years of Experience 23
  • Social Worker
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About LISA WINKLE

This page provides the complete NPI Profile along with additional information for Lisa Winkle, a provider established in Oak Ridge, Tennessee with a medical specialization in Social Worker and more than 23 years of experience. She graduated from University Of Tennessee, Hsc, College Of Medicine in 2003. The healthcare provider is registered in the NPI registry with number 1154449031 assigned on March 2007. The practitioner's primary taxonomy code is 104100000X. The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1154449031
Provider Name
LISA WINKLE CMSW
Gender
Female
Entity Type
Individual
Location Address
240 W TYRONE RD OAK RIDGE, TN 37830
Location Phone
(865) 482-1076
Location Fax
(865) 481-6179
Mailing Address
240 W TYRONE RD OAK RIDGE, TN 37830
Mailing Phone
(865) 482-1076
Mailing Fax
(865) 481-6179
Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
03-27-2007
Last Update Date
10-04-2018
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A social worker like Lisa Winkle helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B15E $0 virtual care from Teladoc Health� - EPO
  • BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross B17E $0 virtual care from Teladoc Health� + Adult Dental - EPO
  • BlueCross B19E $60 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health� + Adult Dental - EPO
  • BlueCross S34E $45 PCP Copay + $0 virtual care from Teladoc Health� - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Lisa Winkle is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Lisa Winkle is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2163774852

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20181008001887

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for LISA WINKLE CMSW

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154449031, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 8 + 4 + 1 + 8 + 0 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1154449031.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
240 W TYRONE RD
OAK RIDGE, TN 37830
Psychiatry & Neurology (Psychiatry)
240 W TYRONE RD
OAK RIDGE, TN 37830
Social Worker (Clinical)
240 W TYRONE RD
OAK RIDGE, TN 37830
Case Manager/Care Coordinator
240 W TYRONE RD
OAK RIDGE, TN 37830
Case Manager/Care Coordinator
240 W TYRONE RD
OAK RIDGE, TN 37830
Case Manager/Care Coordinator
240 W TYRONE RD
OAK RIDGE, TN 37830
Social Worker (Clinical)
240 W TYRONE RD
OAK RIDGE, TN 37830
Social Worker (Clinical)
240 W TYRONE RD
OAK RIDGE, TN 37830
Registered Nurse (Psychiatric/Mental Health)
240 W TYRONE RD
OAK RIDGE, TN 37830
Social Worker (Clinical)
240 W TYRONE RD
OAK RIDGE, TN 37830
Registered Nurse
240 W TYRONE RD
OAK RIDGE, TN 37830
Registered Nurse (Psychiatric/Mental Health)
240 W TYRONE RD
OAK RIDGE, TN 37830
Registered Nurse (Psychiatric/Mental Health)
240 W TYRONE RD
OAK RIDGE, TN 37830
Registered Nurse
240 W TYRONE RD
OAK RIDGE, TN 37830
Social Worker (Clinical)
240 W TYRONE RD
OAK RIDGE, TN 37830
Social Worker
240 W TYRONE RD
OAK RIDGE, TN 37830
Registered Nurse (Psychiatric/Mental Health)
240 W TYRONE RD
OAK RIDGE, TN 37830
Case Manager/Care Coordinator
240 W TYRONE RD
OAK RIDGE, TN 37830
Case Manager/Care Coordinator
240 W TYRONE RD
OAK RIDGE, TN 37830
Case Manager/Care Coordinator
240 W TYRONE RD
OAK RIDGE, TN 37830

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154449031, enumerated as an "individual" on March 27, 2007.

The provider is located at 240 W TYRONE RD OAK RIDGE, TN 37830 and the phone number is (865) 482-1076.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to verify.