Individual provider Active NPI

Morganne Brittany Austin-Dotson, LMSW

  • Social Worker
  • Jackson, TN
National Provider Identifier
1205599388
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10574 Issued in TN
Practice address
112 N Liberty St
Jackson, TN 38301-6200
Phone
(731) 736-4400
NPI assigned
Oct 15, 2021
Last updated
Oct 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10574 TN Primary

Addresses

Primary practice location

112 N Liberty St
Jackson, TN 38301-6200

Mailing address

112 N Liberty St
Jackson, TN 38301-6200
Phone (731) 736-4400

Other names 1

  • Mrs. Morganne Brittany Austin Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Living Group CurrentSince Oct 17, 2021 Accepting new patients

Locations

112 N Liberty St
Jackson, TN 38301
Phone (731) 436-4400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1205599388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N LIBERTY ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383016200",
            "telephone_number": "731-736-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N LIBERTY ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383016200",
            "telephone_number": "731-736-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN-DOTSON",
        "first_name": "MORGANNE",
        "middle_name": "BRITTANY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "10574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGANNE",
            "last_name": "AUSTIN",
            "middle_name": "BRITTANY",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.