Active NPI
Renita Maiten
- Clinical Social Worker
- Memphis, TN
National Provider Identifier
1306238498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6225
- Practice address
- 1265 Union Ave
Memphis, TN 38104 - Phone
- (662) 388-5902
- NPI assigned
- Feb 26, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6225 | TN | Primary |
Addresses
Primary practice location
1265 Union Ave
Memphis, TN 38104
Mailing address
9964 Woodland Bend Dr
Lakeland, TN 38002-3815
Phone (662) 388-5902
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1306238498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9964 WOODLAND BEND DR",
"city": "LAKELAND",
"state": "TN",
"postal_code": "380023815",
"telephone_number": "662-388-5902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38104",
"telephone_number": "662-388-5902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAITEN",
"first_name": "RENITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-26",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "6225",
"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 Jun 11, 2018; 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.