Individual provider Active NPI

Robert Maddox, LCSW

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1205264058
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
IP 68 Issued in TN
Practice address
421 5TH Ave North
Employee Health Clinic, 2ND Floor Central Services BLDG
Nashville, TN 37743
Phone
(615) 478-2765
NPI assigned
Oct 14, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IP 68 TN Primary

Addresses

Primary practice location

421 5TH Ave North
Employee Health Clinic, 2ND Floor Central Services BLDG
Nashville, TN 37743

Mailing address

212 Herbert CT
Brentwood, TN 37027-7653
Phone (615) 478-2765

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

LicenseStateTypeSpecialty
IP 68TNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1205264058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HERBERT CT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277653",
            "telephone_number": "615-478-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 5TH AVE NORTH",
            "address_2": "EMPLOYEE HEALTH CLINIC, 2ND FLOOR CENTRAL SERVICES BLDG",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37743",
            "telephone_number": "615-478-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "ROBERT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "IP 68",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.