Individual provider Active NPI

Ann D Gwin, L.C.S.W.

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1063598159
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0000000850 Issued in TN
Practice address
2300 21St Ave S
Suite 302
Nashville, TN 37212-4927
Phone
(615) 646-7237
Fax
(615) 673-7749
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0000000850 TN Primary

Addresses

Primary practice location

2300 21St Ave S
Suite 302
Nashville, TN 37212-4927

Mailing address

1060 Todd Preis Dr
Nashville, TN 37221-2478
Phone (615) 646-7237

Other identifiers 2

IdentifierTypeStateIssuer
246697OtherTNAETNA
0191852OtherTNBLUE CROSS BLUE SHIELD

Other names 1

  • Mrs. Ann Gwin Haskett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000000850TNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063598159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 TODD PREIS DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212478",
            "telephone_number": "615-646-7237",
            "fax_number": "615-673-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 21ST AVE S",
            "address_2": "SUITE 302",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124927",
            "telephone_number": "615-646-7237",
            "fax_number": "615-673-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWIN",
        "first_name": "ANN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "0000000850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "246697",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0191852",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "HASKETT",
            "middle_name": "GWIN",
            "prefix": "MRS.",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.