Individual provider Active NPI

Mary Hamm, LCSW

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1023552387
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5917 Issued in TN
Practice address
6005 Park Ave
Memphis, TN 38119-5202
Phone
(901) 767-1136
Fax
(901) 767-0476
NPI assigned
Dec 6, 2016
Last updated
Dec 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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 5917 TN Primary

Addresses

Primary practice location

6005 Park Ave
Memphis, TN 38119-5202

Mailing address

6005 Park Ave
Memphis, TN 38119-5202
Phone (901) 767-1136

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
I20170208003129 TN Practitioner - Clinical Social Worker 7315220795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Step Up Care of Tennessee LLCGroup PAC ID 5395074728, 35 clinicians
Vogelfanger and Struble ClinicGroup PAC ID 6608963954, 11 clinicians

Practice addresses (Care Compare)

1250 Farrow Rd
Memphis, TN 38116-7116
Phone (718) 298-4375

6005 Park Ave
Suite 630B
Memphis, TN 38119-5226
Phone (901) 767-1136

Merit-based Incentive Payment System (MIPS)

Final score
87.19 of 100Reported as group
Quality
75
Improvement activities
40
Cost
69.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care of Tennessee LLC CurrentSince Jul 15, 2023 Accepting new patients
Vogelfanger and Struble Clinic Clinical CurrentSince Jan 1, 2017 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1250 Farrow Rd
Memphis, TN 38116
Phone (901) 305-0878

6005 Park Ave
Ste 630B
Memphis, TN 38119
Phone (901) 767-1136

Networks

  • MS PPO
  • MS PPO C-SNP
  • MS PPO D-SNP

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": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1023552387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-767-1136",
            "fax_number": "901-767-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-767-1136",
            "fax_number": "901-767-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMM",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.