Jacqueline D. Payne, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW0000004195 Issued in TN

Practice address

1265 Union Ave
Memphis, TN 38104-3415

Phone

(901) 516-8087

Fax

(901) 516-8198

NPI assigned

Feb 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396889812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 SCOTTSDALE AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381184359",
            "telephone_number": "901-368-0649",
            "fax_number": "901-516-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043415",
            "telephone_number": "901-516-8087",
            "fax_number": "901-516-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JACQUELINE",
        "middle_name": "D.",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "CSW0000004195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payne Family Dentistry
• Andrea D Payne Jones, LPC/MHSP
• Christie W Payne, LPC
• Derrick D. Payne, DDS
• Jackson Lee Payne II, DDS
• Ledia Payne, PHARMD
• Leontyne Payne, RN, IBCLC
• Margaret Elizabeth Payne
• Marquita Shunta Payne
• Patricia Denise Payne

• 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 Jul 8, 2007; 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.