Jennifer Washburn, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11801 Issued in TN

Practice address

1096 Carrs Creek Blvd
Greenbrier, TN 37073-5039

Phone

(615) 927-5306

NPI assigned

Sep 18, 2024

Last updated

Sep 18, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1073340410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 CARRS CREEK BLVD",
            "city": "GREENBRIER",
            "state": "TN",
            "postal_code": "370735039",
            "telephone_number": "615-927-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 CARRS CREEK BLVD",
            "city": "GREENBRIER",
            "state": "TN",
            "postal_code": "370735039",
            "telephone_number": "615-927-5306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1096 Carrs Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenbrier",
            "state": "TN",
            "postal_code": "370735039",
            "country_code": "US",
            "telephone_number": "615-927-5306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "JENNIFER",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "11801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Medical Clinic LLC
• RHC Group PLLC
• Lori Suggs, AMFT
• Makenzy Mary Margaret Thomas, RBT
• Amy Walter, RN, FNP-C
• Misty A Williamson, PHARM D

• Social Worker in Greenbrier, TN
• Providers in Greenbrier, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.