Individual provider Active NPI

Trista Ann Price, LCSW

  • Clinical Social Worker
  • Clarksville, TN
National Provider Identifier
1023843133
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9196 Issued in TN
Practice address
105 Otis Smith Dr
Clarksville, TN 37043-8940
Phone
(931) 320-9213
NPI assigned
Sep 6, 2024
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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 9196 TN Primary

Addresses

Primary practice location

105 Otis Smith Dr
Clarksville, TN 37043-8940

Mailing address

2769 Shepherds Way
Woodlawn, TN 37191-8151
Phone (931) 338-7119

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
I20241014004067 TN Practitioner - Clinical Social Worker 2466984554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

105 Otis Smith Dr
Clarksville, TN 37043-8940
Phone (888) 374-5066

5030 Carothers Pkwy
Suite 120
Franklin, TN 37067-6030
Phone (888) 374-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9196TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Cooperative, Inc CurrentSince Sep 25, 2024 Accepting new patients
Family Care Center, LLC CurrentSince Jul 1, 2025 Accepting new patients
Family Care Center, LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

871 Professional Park Dr
Clarksville, TN 37040
Phone (931) 206-3021

5030 Carothers Pkwy
Ste 120
Franklin, TN 37067
Phone (615) 623-4637

275 Cumberland Bnd
Nashville, TN 37228
Phone (615) 726-3340

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15315/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1023843133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2769 SHEPHERDS WAY",
            "city": "WOODLAWN",
            "state": "TN",
            "postal_code": "371918151",
            "telephone_number": "931-338-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 OTIS SMITH DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438940",
            "telephone_number": "931-320-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "TRISTA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.