Tandra Carter-Williams

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8392 Issued in TN

Practice address

4065 Cane Ridge Pkwy Ste 121G
Antioch, TN 37013-4738

Phone

(615) 964-2096

NPI assigned

Feb 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, DC2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, DC, TN

  Medicare reassignment NPD
• Carter Counseling Center, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Antioch, TN
  • NPI 1083473854
  NPD Authorized official
• Family Care Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Franklin, TN
  • NPI 1124756085
  Medicare reassignment

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1063279784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 CANE RIDGE PKWY STE 121G",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134738",
            "telephone_number": "615-964-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 CANE RIDGE PKWY STE 121G",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134738",
            "telephone_number": "615-964-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER-WILLIAMS",
        "first_name": "TANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Anne Cannon, DDS
• Rebeca Andreina Canonico Rodriguez
• Caredrive LLC
• John Glen Carson, NP-C
• Carter Counseling Center, PLLC
• Cashmere Body and Beauty Bar
• Castillo & Vincent PLLC
• Castle of Care LLC
• Centerstone of Tennessee Inc
• Heather Lynn Chansuthus, COTA/L

• Clinical Social Worker in Antioch, TN
• Providers in Antioch, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.