Individual provider Active NPI

Teresa Quance, LCSW

  • Clinical Social Worker
  • Murfreesboro, TN
National Provider Identifier
1497150841
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6004 Issued in TN
Practice address
511 Highland Ter
Murfreesboro, TN 37130-2420
Phone
(615) 848-0065
NPI assigned
Oct 28, 2014
Sex
Female
Sole proprietor
Yes

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
6004TNMDProfessional Counselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6004 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

511 Highland Ter
Murfreesboro, TN 37130-2420

Mailing address

514 Winfrey Dr
Murfreesboro, TN 37130-2456
Phone (615) 414-2547

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2014.

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1497150841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 WINFREY DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302456",
            "telephone_number": "615-414-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 HIGHLAND TER",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302420",
            "telephone_number": "615-848-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUANCE",
        "first_name": "TERESA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.