Nancy Lynn Hall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4762 Issued in TN

Practice address

1820 Memorial Dr
Suite 101
Clarksville, TN 37043-4693

Phone

(931) 553-4161

Fax

(931) 553-4176

NPI assigned

Jun 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nancy Lynn Phillips Other name

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1477755890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 MEMORIAL DR",
            "address_2": "SUITE 101",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434693",
            "telephone_number": "931-553-4161",
            "fax_number": "931-553-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MEMORIAL DR",
            "address_2": "SUITE 101",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434693",
            "telephone_number": "931-553-4161",
            "fax_number": "931-553-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "NANCY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "PHILLIPS",
            "middle_name": "LYNN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Annette Hall, CNA
• Kalissa Hall, BCBA
• Kimberly Faith Hall, M.A.
• Maurice Hall
• Melissa Marie Hall, MSW
• Patience Rhiannon Hall, OTD
• Jayne Andrea Hallock, COTA/L
• Erica Hannah Halpern, MS, OTR/L
• Katrina Helen Hammons, DDS
• Mandi Hampton

• Clinical Social Worker in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Clinical Social Worker in Tennessee

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.