Active NPI
Jeffrey Lynn Craig, M.S.S.W. / L.C.S.W.
- Social Worker
- Memphis, TN
National Provider Identifier
1306183132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- L3532
- Practice address
- 1030 Jefferson Ave
V a Medical Center Memphis
Memphis, TN 38104 - Phone
- (901) 523-8990
- NPI assigned
- Jan 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | L3532 | OR | Primary |
Addresses
Primary practice location
1030 Jefferson Ave
V a Medical Center Memphis
Memphis, TN 38104
Mailing address
119 Tipton View LN
Munford, TN 38058-5212
Phone (541) 749-8252
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3532 | OR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358121600000",
"number": "1306183132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 TIPTON VIEW LN",
"city": "MUNFORD",
"state": "TN",
"postal_code": "380585212",
"telephone_number": "541-749-8252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 JEFFERSON AVE",
"address_2": "V A MEDICAL CENTER MEMPHIS",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38104",
"telephone_number": "901-523-8990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "JEFFREY",
"middle_name": "LYNN",
"credential": "M.S.S.W. / L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-14",
"last_updated": "2013-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "L3532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.