Active NPI
Diane H Wright, LMSW
- Clinical Social Worker
- Jackson, TN
National Provider Identifier
1407153406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00007855
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00007855 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Starting Place, LLC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.