Individual provider Active NPI

Diane H Wright, LMSW

  • Clinical Social Worker
  • Jackson, TN
National Provider Identifier
1407153406
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00007855 Issued in TN
Practice address
314 S Shannon St
Jackson, TN 38301-6830
Phone
(731) 499-2508
Fax
(731) 423-6125
NPI assigned
Feb 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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 00007855 TN Primary

Addresses

Primary practice location

314 S Shannon St
Jackson, TN 38301-6830

Mailing address

314 S Shannon St
Jackson, TN 38301-6830
Phone (731) 499-2508

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00007855TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Starting Place, LLC Clinical CurrentSince Jan 8, 2013 Accepting new patients

Locations

180 W University Pkwy
Ste H
Jackson, TN 38305
Phone (731) 499-2508

2790 N Highland Ave
Ste B
Jackson, TN 38305
Phone (615) 205-5808

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1407153406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S SHANNON ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383016830",
            "telephone_number": "731-499-2508",
            "fax_number": "731-423-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S SHANNON ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383016830",
            "telephone_number": "731-499-2508",
            "fax_number": "731-423-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DIANE",
        "middle_name": "H",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "00007855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.