Mandy Klein, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0000006270 Issued in TN

Practice address

3205 Kirby Whitten 203 Suite D
Bartlett, TN 38134-2853

Phone

(901) 430-5009

Fax

(901) 284-0527

NPI assigned

Jul 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Mandy Erwin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mandy Klein LCSW, RPT-S

  • Clinical Social Worker
  • Jonesboro, AR
  • NPI 1811287303
  NPD Authorized official
• Varangon Incorporated

  • Psychiatric Residential Treatment Facility
  • Memphis, TN
  • NPI 1598950685
  NPD (past)
• Youth Opportunity Investments, LLC

  • Psychiatric Residential Treatment Facility
  • Rockdale, TX
  • NPI 1487187704
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1306862966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 BRUNSWICK RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334106",
            "telephone_number": "901-531-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 KIRBY WHITTEN 203 SUITE D",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342853",
            "telephone_number": "901-430-5009",
            "fax_number": "901-284-0527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 N 6th St",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "723013221",
            "country_code": "US",
            "telephone_number": "870-702-7657",
            "fax_number": "870-735-0621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "MANDY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2001-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "0000006270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS PROVIDER NUMBER",
            "identifier": "5Y793",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "ERWIN",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marion Meyer Kiameh, PHARMD
• Allison H King, NP-C
• Kirby Whitten Pharmacy, Inc.
• Kyra Rochelle Kirk
• Lynn Kirkland, APN
• Akram Knefati
• Kachina Machelle Knight
• Kathryn Knight, OTR/L
• Jennifer Elizabeth Kosciolek, DPH
• Jessica Krangnes, DPT

• Clinical Social Worker in Bartlett, TN
• Providers in Bartlett, 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 Sep 14, 2018; 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.