Active NPI
Courtney Warren Crittendon, LCSW
- Clinical Social Worker
- Murfreesboro, TN
National Provider Identifier
1144354770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9065
- Practice address
- 227 Peacock Ave
Murfreesboro, TN 37129-1553 - Phone
- (629) 209-9423
- NPI assigned
- Mar 15, 2007
- Last updated
- Dec 5, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0000011108 | TN | |
| Clinical Social Worker | 1041C0700X | 9065 | TN | Primary |
Addresses
Primary practice location
227 Peacock Ave
Murfreesboro, TN 37129-1553
Mailing address
227 Peacock Ave
Murfreesboro, TN 37129-1553
Phone (615) 415-7037
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 |
|---|---|---|---|
| 0000011108 | TN | MD | Social Worker |
| 9065 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerstone of Tennessee, Inc. | Past | Accepting new patients | |
| Centerstone of Tennessee, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Nashville, TN
- NPI 1396767430
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manhattan, KS
- NPI 1023900651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1144354770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 PEACOCK AVE",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371291553",
"telephone_number": "615-415-7037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 PEACOCK AVE",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371291553",
"telephone_number": "629-209-9423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRITTENDON",
"first_name": "COURTNEY",
"middle_name": "WARREN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "0000011108",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "9065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
- Alanah Crenshaw
- Lizbeth Crespo
- Brittni Cripps, FNP, PMHNP
- Rebecca Jane Cripps, RPH,PHARMD,BCPS,BCAC
- Jasmine Crisp
- Starla Crook
- Daniel Kyle Crosby, LPC-MHSP
- Gracen Leigh Crosslin
- Ellen Crossman, PH.D., LPC-MHSP, NCC
- Crossroads Treatment Centers of Tennessee, P.C. (Crossroads Treatment Centers Murfreesboro)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.