NPIMap

Organization Active NPI

Wayne E Tasker

  • Clinical Social Worker
  • Morristown, TN
National Provider Identifier
1235273673
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW1208 Issued in TN
Legal business name
WAYNE E TASKER
Practice address
1329 W Andrew Johnson Hwy
Morristown, TN 37814-3728
Phone
(423) 581-8844
Fax
(423) 318-3050
NPI assigned
Feb 19, 2007
Last updated
Dec 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Mrs. Imogene Dalton
Title
Manager
Phone
(423) 581-8844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW1208 TN Primary

Addresses

Primary practice location

1329 W Andrew Johnson Hwy
Morristown, TN 37814-3728

Mailing address

1329 W Andrew Johnson Hwy
Morristown, TN 37814-3728
Phone (423) 581-8844

Other identifiers 3

IdentifierTypeStateIssuer
36946802OtherTNGROUP MEDICARE #
3730027MedicaidTN
1513170MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1235273673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 W ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143728",
            "telephone_number": "423-581-8844",
            "fax_number": "423-318-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 W ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143728",
            "telephone_number": "423-581-8844",
            "fax_number": "423-318-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE E TASKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "IMOGENE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "423-581-8844",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LCSW1208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE #",
            "identifier": "36946802",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3730027",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513170",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.