Jean Nicole Tippitt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6145 Issued in TN

Practice address

849 Volunteer Dr
Paris, TN 38242-5482

Phone

(731) 642-3600

Fax

(731) 642-6037

NPI assigned

Jun 25, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Camelot Care Centers, LLC

  • Community/Behavioral Health Agency
  • Nashville, TN
  • NPI 1831397645
  Medicare reassignment NPD
• Foust Medical Clinic, LLC

  • Rural Health Clinic/Center
  • Paris, TN
  • NPI 1154895670
  NPD (past)
• Professional Counseling Services of Tennessee

  • Professional Counselor
  • Paris, TN
  • NPI 1720119019
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1184006231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 VOLUNTEER DR",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425482",
            "telephone_number": "731-642-3600",
            "fax_number": "731-642-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 VOLUNTEER DR",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425482",
            "telephone_number": "731-642-3600",
            "fax_number": "731-642-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPITT",
        "first_name": "JEAN",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICVARE",
            "identifier": "39224262",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "1508500",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q015397",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanna Dawn Thompson, PT, DPT
• Christie B Thompson, PHARMD
• John C Thompson, LPC-MHSP
• Parker L Thompson, LCSW
• Timothy Wayne Tidwell
• David B Travis, DDS
• David Barton Travis Jr., DDS
• Andrew S Troutt, D.D.S.
• Casi Troutt, PHARMD
• Trustworthy Anesthesia Care

• Clinical Social Worker in Paris, TN
• Providers in Paris, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.