Annice R.H. Overall, LCSW, DSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000003605 Issued in TN

Practice address

2561 Sunny Glade Cove
Memphis, TN 38133

Phone

(901) 634-6522

Fax

(901) 634-6522

NPI assigned

Sep 30, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1506729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1285144527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 SUNNY GLADE COVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38133",
            "telephone_number": "901-634-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 SUNNY GLADE COVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38133",
            "telephone_number": "901-634-6522",
            "fax_number": "901-634-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERALL",
        "first_name": "ANNICE",
        "middle_name": "R.H.",
        "name_prefix": "Dr.",
        "credential": "LCSW, DSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-30",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "TN",
            "license": "6314574",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000003605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Out on a Limb, LLC
• Tammi Outlaw
• Outreach Housing and Community Inc
• Outreach Housing and Community Inc.
• Outstanding Support Services of TN
• Barbara A Overbey, FNP
• Ashley Whigham Overby, PHARM. D.
• Overcomers Home Health Care LLC
• Overflow Masters Transportation LLC
• Emily T. Overholser, M.D.

• Clinical Social Worker in Memphis, TN
• Providers in Memphis, 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 Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.