Jesse Ayers, LCSW
Individual provider Active NPI Clinical Social Worker · South Pittsburg, TN
NPI 1174258669 · NPPES record last updated Jul 19, 2022
Key facts
- NPI
- 1174258669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 8084 (TN)
- Practice address
- 211 12TH Street West
South Pittsburg, TN 37380 - Phone
- (931) 308-4220
- NPI assigned
- Jul 19, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8084 | TN | MD | Public Health Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8084 | TN | Yes |
Addresses
Primary practice location
211 12TH Street West
South Pittsburg, TN 37380
Mailing address
211 12TH Street West
South Pittsburg, TN 37380
Other providers in South Pittsburg, TN
- A & R Home Medical Equipment,LLC
- Charles Russell Adcock
- Ag&B Transportation
- Rena A Azar
- Body in Rhythm Physical Therapy and Wellness, LLC
- Taylor Ogden Bolland
- Jason Michael Cates
- Adlene Chang
All providers in South Pittsburg, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.