Active NPI
Cameron Mashburn
- Social Worker
- Nashville, TN
National Provider Identifier
1104473628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2021 21St Ave S
Nashville, TN 37212-4342 - Phone
- (615) 438-4706
- NPI assigned
- Aug 20, 2019
- Reactivated
- Aug 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12933 | TN | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2021 21St Ave S
Nashville, TN 37212-4342
Mailing address
1616 Westgate Cir
Brentwood, TN 37027-8019
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12933 | TN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Centers & Clinics of Tennessee | Past | Accepting new patients | |
| Helen Ross McNabb Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Knoxville, TN
- NPI 1659330686
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chattanooga, TN
- NPI 1790811149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1104473628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 WESTGATE CIR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 21ST AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372124342",
"telephone_number": "615-438-4706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASHBURN",
"first_name": "CAMERON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"deactivation_date": "2020-07-29",
"reactivation_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "12933",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.