Individual provider Active NPI

Sherri Sedgebear, LCSW

  • Clinical Social Worker
  • Huntingdon, TN
National Provider Identifier
1245280825
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW0000004591 Issued in TN
Practice address
19410 W Main St
Huntingdon, TN 38344-3415
Phone
(731) 986-4411
Fax
(731) 986-2678
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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 CSW0000004591 TN Primary

Addresses

Primary practice location

19410 W Main St
Huntingdon, TN 38344-3415

Mailing address

PO Box 30
Paris, TN 38242-0030
Phone (731) 642-0521

Other identifiers 1

IdentifierTypeStateIssuer
5441273MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW0000004591TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carey Counseling Center, Inc. CurrentSince Mar 1, 2012 Accepting new patients

Locations

19410 Main St W
Huntingdon, TN 38344
Phone (731) 986-4411

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/careycounselingcenter/r4/

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1245280825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382420030",
            "telephone_number": "731-642-0521",
            "fax_number": "731-642-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19410 W MAIN ST",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383443415",
            "telephone_number": "731-986-4411",
            "fax_number": "731-986-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDGEBEAR",
        "first_name": "SHERRI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "CSW0000004591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441273",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, TN

Sources for this page

Verify at the official NPI Registry.