Individual provider Active NPI

Juan Toribio Trevino, LCSW

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1013048123
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8679 Issued in TN
Practice address
220 Athens Way Ste 102
Nashville, TN 37228-1346
Phone
(615) 320-1155
Fax
(615) 320-1177
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 27425 CA
Clinical Social Worker 1041C0700X 8679 TN Primary

Addresses

Primary practice location

220 Athens Way Ste 102
Nashville, TN 37228-1346

Mailing address

220 Athens Way Ste 104
Nashville, TN 37228-1351
Phone (615) 320-1155

Other practice location 1

5650 Mount Ackerly Dr
San Diego, CA 92111-4016
Phone (858) 496-8205 ext. 2004

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
I20241023003963 TN Practitioner - Clinical Social Worker 8022541424 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8679TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Consulting and Psychological Services, PLLC Clinical CurrentSince Aug 26, 2024 Accepting new patients
Clarksville Behavioral Health, LLC PastSince Oct 10, 2018 Accepting new patients

Locations

775 Weatherly Dr
Ste F
Clarksville, TN 37043
Phone (877) 641-1155

8000 Centerview Pkwy
Ste 201
Cordova, TN 38018
Phone (877) 641-1155

341 Cool Springs Blvd
Ste 140
Franklin, TN 37067
Phone (615) 347-1507

109 Hazel Path
Ste 4
Hendersonvlle, TN 37075
Phone 6153201155 ext. 232

10133 Sherrill Blvd
Ste 220
Knoxville, TN 37932
Phone (776) 641-1155

1639 Medical Center Pkwy
Ste 202
Murfreesboro, TN 37129
Phone (615) 447-9880

220 Athens Way
Ste 104
Nashville, TN 37228
Phone (615) 380-4725

220 Athens Way
Ste 320
Nashville, TN 37228
Phone (615) 957-6487

220 Athens Way
Ste 102
Nashville, TN 37228
Phone (877) 641-1155

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1013048123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ATHENS WAY STE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281351",
            "telephone_number": "615-320-1155",
            "fax_number": "615-320-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ATHENS WAY STE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281346",
            "telephone_number": "615-320-1155",
            "fax_number": "615-320-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5650 Mount Ackerly Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921114016",
            "country_code": "US",
            "telephone_number": "858-496-8205 x2004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "JUAN",
        "middle_name": "TORIBIO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27425",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.