Individual provider Active NPI

Maitricia Ferrell

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1417264870
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5452 Issued in TN
Practice address
1921 Ransom PL
Nashville, TN 37217-3841
Phone
(615) 279-6702
NPI assigned
Sep 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 68378133501 UT
Clinical Social Worker 1041C0700X 5452 TN Primary

Addresses

Primary practice location

1921 Ransom PL
Nashville, TN 37217-3841

Mailing address

1921 Ransom PL
Nashville, TN 37217-3841

Other practice location 1

220 Athens Way Ste 320
Nashville, TN 37228-1311
Phone (615) 320-1155

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
I20110307000605 TN Practitioner - Clinical Social Worker 3274715693 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68378133501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Consulting and Psychological Services, PLLC Clinical CurrentSince Sep 16, 2024 Accepting new patients
Cedar Recovery Center of Middle Tennessee, LLC CurrentSince Jun 14, 2023 Accepting new patients
Cedar Recovery of Middle Tennessee, LLC CurrentSince Jun 14, 2023 Accepting new patients

Locations

109 Hazel Path
Ste 4
Hendersonvlle, TN 37075
Phone 6153201155 ext. 232

1405 W Baddour Pkwy
Ste 101
Lebanon, TN 37087
Phone (615) 257-6844

5000 Crossings Cir
Ste 103
Mt Juliet, TN 37122
Phone (615) 208-9549

2636 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 680-0110

220 Athens Way
Ste 320
Nashville, TN 37228
Phone (615) 957-6487

Organizations & group practices 3

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": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1417264870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 RANSOM PL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372173841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 RANSOM PL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372173841",
            "telephone_number": "615-279-6702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Athens Way Ste 320",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372281311",
            "country_code": "US",
            "telephone_number": "615-320-1155",
            "fax_number": "615-320-1177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "MAITRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "68378133501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.