Individual provider Active NPI

Donna L Humbert, LICENSED CLINICAL SO

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1346422920
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW00000003244 Issued in TN
Practice address
145 Thompson LN
Nashville, TN 37211-2411
Phone
(615) 781-0013
Fax
(615) 781-0688
NPI assigned
Dec 5, 2007
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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 LSW00000003244 TN Primary

Addresses

Primary practice location

145 Thompson LN
Nashville, TN 37211-2411

Mailing address

301 S Perimeter Park Dr Ste 210
Nashville, TN 37211-4128
Phone (615) 726-3603

Other names 1

  • Mrs. Donna L Schepers Humbert Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150423002439 TN Practitioner - Clinical Social Worker 0648598631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coffee County Hospital Group IncGroup PAC ID 1456317783, 87 clinicians
Omni Community Health, Inc.Group PAC ID 5799078804, 11 clinicians

Practice addresses (Care Compare)

482 Interstate Dr
Suite a
Manchester, TN 37355-3109
Phone (931) 728-4718

740 Conference Dr
Goodlettsville, TN 37072-2084
Phone (615) 992-9082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW00000003244TNMDClinical Social Worker
3244TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Healthcare, PLLC CurrentSince Jan 18, 2021 Accepting new patients
Omni Community Health, Inc. Clinical CurrentSince Sep 1, 2020 Accepting new patients
Bainbridge Eye Care, LLC Past Accepting new patients

Locations

740 Conference Dr
Goodlettsvlle, TN 37072
Phone (615) 851-7000

4709 Papermill Dr
Ste 100
Knoxville, TN 37909

145 Thompson Ln
Nashville, TN 37211
Phone (615) 781-0013

301 S Perimeter Park Dr
Ste 210
Nashville, TN 37211
Phone (615) 726-3603

Organizations & group practices 4

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": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1346422920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S PERIMETER PARK DR STE 210",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114128",
            "telephone_number": "615-726-3603",
            "fax_number": "615-827-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 THOMPSON LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112411",
            "telephone_number": "615-781-0013",
            "fax_number": "615-781-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMBERT",
        "first_name": "DONNA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LICENSED CLINICAL SO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW00000003244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "SCHEPERS HUMBERT",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "LICENSED CLINICAL SO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.