Behavior Services of the Mid-South, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000219479 Issued in TN

Legal business name

BEHAVIOR SERVICES OF THE MID-SOUTH, LLC

Practice address

8349 Trinity Rd
Cordova, TN 38018-6761

Phone

(901) 484-3545

NPI assigned

May 6, 2015

Organization subpart

No

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

Authorized official

Name

Mr. James B Elswick

Title

Director of Operations

Phone

(901) 484-3545

Specialties & licenses 1

Addresses

Tax ID family

Behavior Services of the Mid-South2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Behavior Services of the Mid-South

  • Clinical Social Worker
  • Cordova, TN
  • NPI 1548677487
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Elswick, EDD, MSSW, LSSW LCSW

  • Clinical Social Worker
  • Cordova, TN
  • NPI 1134529241
  NPD (past)

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1215314562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8349 TRINITY RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186761",
            "telephone_number": "901-484-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8349 TRINITY RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186761",
            "telephone_number": "901-484-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR SERVICES OF THE MID-SOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "ELSWICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "901-484-3545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "000219479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciera Beard, RBT
• Carolyn Beaty
• Beau Pittman
• Behavior Intervention & Therapy Services, LLC
• Behavior Services of the Mid-South
• Behavioral Services of Tennessee, Inc.
• Ebony Bell
• Beloved Medical, LLC
• Carly Bencivenga
• Rebecca Ireland Benefield, M.ED., CCC-SLP

• Clinical Social Worker in Cordova, TN
• Providers in Cordova, 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 May 6, 2015; 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.