Active NPI
Jennifer Eldridge
- Social Worker
- Clarksville, TN
National Provider Identifier
1437740693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0000009192
- Practice address
- 2690 Madison St Suite 200
Clarksville, TN 34043 - Phone
- (931) 358-9063
- Fax
- (931) 358-9064
- NPI assigned
- Jan 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 0000009192 | TN | Primary |
Addresses
Primary practice location
2690 Madison St Suite 200
Clarksville, TN 34043
Mailing address
3483 John Taylor Rd.
Woodlawn, TN 37191
Phone (731) 336-7058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000009192 | TN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Home Healthcare Services LLC | Past | Accepting new patients | |
| Amedisys Tennessee, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Amedisys Home Health
- Home Health Agency
- Murfreesboro, TN
- NPI 1326096108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612051200000",
"number": "1437740693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3483 JOHN TAYLOR RD.",
"city": "WOODLAWN",
"state": "TN",
"postal_code": "37191",
"telephone_number": "731-336-7058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2690 MADISON ST SUITE 200",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "34043",
"telephone_number": "931-358-9063",
"fax_number": "931-358-9064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDRIDGE",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-31",
"last_updated": "2021-01-31",
"certification_date": "2021-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "0000009192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
- Jodie Lynn Eilerman, MA CCC/SLP
- Casey Eison, PT
- Elaina Higgins LLC
- Stephanie Elder
- Melissa Anne Eldridge Ashshakur, PTA
- Madison Eldridge
- Elevation Chiropractic PLLC
- Elisha C. Hurley (The Marriage and Family Institute)
- Elite Medical Group of Clarksville PLLC
- Elite Primary Care LLC (Elite Primary Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.