Individual provider Active NPI

Brenden Murphy

  • Clinical Social Worker
  • Clarksville, TN
National Provider Identifier
1457986093
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9437 Issued in TN
Practice address
775 Weatherly Dr
Clarksville, TN 37043-8910
Phone
(931) 221-3850
NPI assigned
Mar 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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 257758 KY
Clinical Social Worker 1041C0700X 9437 TN Primary

Addresses

Primary practice location

775 Weatherly Dr
Clarksville, TN 37043-8910

Mailing address

775 Weatherly Dr
Clarksville, TN 37043-8910
Phone (931) 221-3850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230324000472 KY Practitioner - Clinical Social Worker 4880068386 Reassigns benefits to 1 organization
I20241028002411 TN Practitioner - Clinical Social Worker 4880068386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerstone of Tennessee, Inc.Group PAC ID 9739088113, 114 clinicians

Practice addresses (Care Compare)

775 Weatherly Dr
Suite a
Clarksville, TN 37043-8910
Phone (877) 467-3123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
257758KYMDClinical Social Worker
9437TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Tennessee, Inc. CurrentSince Sep 13, 2024 Accepting new patients
Centerstone of Tennessee, Inc. CurrentSince Sep 13, 2024 Accepting new patients
Western Ky Regional MHMR Board Inc CurrentSince Nov 6, 2023 Accepting new patients

Locations

1525 Cuba Rd
Mayfield, KY 42066
Phone (270) 247-2588

425 Broadway St
#201
Paducah, KY 42001
Phone (270) 442-1452

425 Broadway St
Ste 102
Paducah, KY 42001
Phone (270) 442-1452

425 Broadway St
Ste 101
Paducah, KY 42001
Phone (270) 349-5626

775 Weatherly Dr
Ste A
Clarksville, TN 37043
Phone (931) 221-3850

1921 Ransom Pl
Nashville, TN 37217
Phone (615) 279-6700

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": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1457986093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 WEATHERLY DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438910",
            "telephone_number": "931-221-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 WEATHERLY DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438910",
            "telephone_number": "931-221-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "BRENDEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257758",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.