Individual provider Active NPI

Lesley Granholm

  • Clinical Social Worker
  • Murfreesboro, TN
National Provider Identifier
1093977266
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7560 Issued in TN
Practice address
567 Cason LN Ste a
Murfreesboro, TN 37128-4871
Phone
(615) 509-9790
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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 7560 TN Primary

Addresses

Primary practice location

567 Cason LN Ste a
Murfreesboro, TN 37128-4871

Mailing address

567 Cason LN Ste a
Murfreesboro, TN 37128-4871
Phone (615) 509-9790

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
I20120718000541 TN Practitioner - Clinical Social Worker 8224294384 Practice locations: Murfreesboro, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2650 Memorial Blvd
Suite E
Murfreesboro, TN 37129-5138
Phone (615) 509-9790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5332TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Seay Counseling, LLC PastSince Dec 8, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1093977266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 CASON LN STE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284871",
            "telephone_number": "615-509-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 CASON LN STE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284871",
            "telephone_number": "615-509-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANHOLM",
        "first_name": "LESLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.