Jennifer Washburn, LMSW
Individual provider Active NPI Social Worker · Greenbrier, TN
NPI 1073340410 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1073340410
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 11801 (TN)
- Practice address
- 1096 Carrs Creek Blvd
Greenbrier, TN 37073-5039 - Phone
- (615) 927-5306
- NPI assigned
- Sep 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11801 | TN | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11801 | TN | Yes |
Addresses
Primary practice location
1096 Carrs Creek Blvd
Greenbrier, TN 37073-5039
Mailing address
1096 Carrs Creek Blvd
Greenbrier, TN 37073-5039
Phone (615) 927-5306
Other practice location 1
1096 Carrs Creek Blvd
Greenbrier, TN 37073-5039
Phone (615) 927-5306
Other providers in Greenbrier, TN
- RHC Group PLLC
- Naomi Theresa Sawyers
- Lori Suggs
- Makenzy Mary Margaret Thomas
- Amy Walter
- Misty A Williamson
All providers in Greenbrier, TN · Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.