Active NPI
Michael Wayne Loftis, L.C.S.W.
- Clinical Social Worker
- Murfreesboro, TN
National Provider Identifier
1104906122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3663
- Practice address
- 2670 Memorial Blvd
Suite E-2
Murfreesboro, TN 37129-5139 - Phone
- (615) 890-7946
- Fax
- (615) 890-7946
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3663 | TN | Primary |
Addresses
Primary practice location
2670 Memorial Blvd
Suite E-2
Murfreesboro, TN 37129-5139
Mailing address
809 Rob LN
Lascassas, TN 37085-4635
Phone (615) 890-7946
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3075520 | Other | TN | BLUE CROSS BLUE SHIELD # |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060315000751 | TN | Practitioner - Clinical Social Worker | 7012924087 | Practice locations: Murfreesboro, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2670 Memorial Blvd
E2
Murfreesboro, TN 37129-5134
Phone (615) 890-7946
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3663 | FL | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradigm Health Services, Inc | Clinical | Past | 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": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104906122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 ROB LN",
"city": "LASCASSAS",
"state": "TN",
"postal_code": "370854635",
"telephone_number": "615-890-7946",
"fax_number": "615-890-7946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 MEMORIAL BLVD",
"address_2": "SUITE E-2",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371295139",
"telephone_number": "615-890-7946",
"fax_number": "615-890-7946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFTIS",
"first_name": "MICHAEL",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "3663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD #",
"identifier": "3075520",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.