Behavior Services of the Mid-South

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5660 Issued in TN

Legal business name

BEHAVIOR SERVICES OF THE MID-SOUTH

Practice address

8349 Trinity Rd
Cordova, TN 38018-6761

Phone

(901) 484-3545

NPI assigned

Jul 11, 2014

Last updated

Jul 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan Elswick, ED.D, LCSW, LSSWNPI 1134529241

Title

President/Ceo

Phone

(901) 484-3546

Specialties & licenses 1

Addresses

Tax ID family

Behavior Services of the Mid-South2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Behavior Services of the Mid-South, LLC

  • Clinical Social Worker
  • Cordova, TN
  • NPI 1215314562
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Elswick, EDD, MSSW, LSSW LCSW

  • Clinical Social Worker
  • Cordova, TN
  • NPI 1134529241
  NPD (past) Authorized official

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1548677487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8349 TRINITY RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186761",
            "telephone_number": "901-484-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8349 TRINITY RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186761",
            "telephone_number": "901-484-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR SERVICES OF THE MID-SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "ELSWICK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "901-484-3546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D, LCSW, LSSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Wood Beard, APRN, DNP
• Ciera Beard, RBT
• Carolyn Beaty
• Beau Pittman (Pittman Internal Medicine, PLLC)
• Behavior Intervention & Therapy Services, LLC
• Behavior Services of the Mid-South, LLC
• Behavioral Services of Tennessee, Inc.
• Ebony Bell
• Beloved Medical, LLC
• Carly Bencivenga

• Clinical Social Worker in Cordova, TN
• Providers in Cordova, 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 Jul 11, 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.