Individual provider Active NPI

Kimberley Kay Slown, L.C.S.W.

  • Clinical Social Worker
  • Lewisburg, TN
National Provider Identifier
1003054784
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000006717 Issued in TN
Practice address
1601 Nashville Hwy
Lewisburg, TN 37091-2948
Phone
(931) 359-5802
Fax
(931) 359-0148
NPI assigned
Feb 3, 2009
Last updated
Nov 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSW0000006717 TN Primary

Addresses

Primary practice location

1601 Nashville Hwy
Lewisburg, TN 37091-2948

Mailing address

206 Greenview Dr
Columbia, TN 38401-2308
Phone (309) 212-1939

Other names 1

  • Kimberley Higgins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180618000417 TN Practitioner - Clinical Social Worker 3577818434 Reassigns benefits to 1 organization
Practice locations: Pulaski, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Tennessee, Inc. CurrentSince Mar 27, 2018 Accepting new patients
Centerstone of Tennessee, Inc. CurrentSince Mar 27, 2018 Accepting new patients

Locations

1601 Nashville Hwy
Lewisburg, TN 37091
Phone (931) 273-8761

1921 Ransom Pl
Nashville, TN 37217
Phone (615) 279-6700

1002 Brindley Dr
Pulaski, TN 38478
Phone (931) 231-6725

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1003054784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 GREENVIEW DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012308",
            "telephone_number": "309-212-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NASHVILLE HWY",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912948",
            "telephone_number": "931-359-5802",
            "fax_number": "931-359-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOWN",
        "first_name": "KIMBERLEY",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000006717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEY",
            "last_name": "HIGGINS",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewisburg, TN

Sources for this page

Verify at the official NPI Registry.