Individual provider Active NPI

Lindee M Vaught, CMSW

  • Clinical Social Worker
  • Antioch, TN
National Provider Identifier
1487797932
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4941 Issued in TN
Practice address
505 Oak Forest Cir
Antioch, TN 37013-1842
Phone
(615) 319-4450
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4941 TN Primary

Addresses

Primary practice location

505 Oak Forest Cir
Antioch, TN 37013-1842

Mailing address

505 Oak Forest Cir
Antioch, TN 37013-1842
Phone (615) 399-2841

Other names 1

  • Mrs. Celinda Mansur Vaught Professional name

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

LicenseStateTypeSpecialty
4941TNMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1487797932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 OAK FOREST CIR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370131842",
            "telephone_number": "615-399-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 OAK FOREST CIR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370131842",
            "telephone_number": "615-319-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "M VAUGHT",
        "first_name": "LINDEE",
        "name_prefix": "Mrs.",
        "credential": "CMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELINDA",
            "last_name": "VAUGHT",
            "middle_name": "MANSUR",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.