Active NPI
Timothy Andrew Clouse, LCSW
- Clinical Social Worker
- Madison, TN
National Provider Identifier
1467087635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7145
- Practice address
- 500 Hospital Dr
Madison, TN 37115-5031 - Phone
- (615) 769-5253
- Fax
- (615) 769-5945
- NPI assigned
- Mar 9, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7145 | TN | Primary |
Addresses
Primary practice location
500 Hospital Dr
Madison, TN 37115-5031
Mailing address
300 20TH Ave N
Ste 403
Nashville, TN 37203-5180
Phone (615) 284-4029
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7145 | TN | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1467087635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 20TH AVE N",
"address_2": "STE 403",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372035180",
"telephone_number": "615-284-4029",
"fax_number": "615-284-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 HOSPITAL DR",
"city": "MADISON",
"state": "TN",
"postal_code": "371155031",
"telephone_number": "615-769-5253",
"fax_number": "615-769-5945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUSE",
"first_name": "TIMOTHY",
"middle_name": "ANDREW",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-09",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "7145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.