Active NPI
Rachel Brimm Dorris, LCSW
- Clinical Social Worker
- Gallatin, TN
National Provider Identifier
1104997337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4779
- Practice address
- 150 N. Main St.
Suite 303
Gallatin, TN 37066-3251 - Phone
- (615) 451-0250
- Fax
- (615) 451-0240
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- 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 | 4779 | TN | Primary |
Addresses
Primary practice location
150 N. Main St.
Suite 303
Gallatin, TN 37066-3251
Mailing address
1406 E Broadway Ste 12
Gallatin, TN 37066-4613
Phone (615) 451-0250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3920092 | Medicaid | TN | |
| 1568647105 | Other | TN | GROUP NPI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4779 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- racheldorris@tdh.allscriptsdirect.net
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": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1104997337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 E BROADWAY STE 12",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370664613",
"telephone_number": "615-451-0250",
"fax_number": "615-451-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N. MAIN ST.",
"address_2": "SUITE 303",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370663251",
"telephone_number": "615-451-0250",
"fax_number": "615-451-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORRIS",
"first_name": "RACHEL",
"middle_name": "BRIMM",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "4779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3920092",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1568647105",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.