Active NPI
Bethany Brunett, LCSW
- Clinical Social Worker
- Dickson, TN
National Provider Identifier
1164817151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW0000007115
- Practice address
- 6000 Ramsey Way
Dickson, TN 37055-2198 - Phone
- (931) 217-6596
- NPI assigned
- Apr 6, 2015
- Last updated
- Nov 4, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW0000007115 | TN | Primary |
Addresses
Primary practice location
6000 Ramsey Way
Dickson, TN 37055-2198
Mailing address
1820 Memorial Cir
Clarksville, TN 37043-4539
Phone (931) 436-2125
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1164817151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 MEMORIAL CIR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434539",
"telephone_number": "931-436-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 RAMSEY WAY",
"city": "DICKSON",
"state": "TN",
"postal_code": "370552198",
"telephone_number": "931-217-6596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNETT",
"first_name": "BETHANY",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-06",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000007115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.