Individual provider Active NPI

Kaleigh Clark, LCSW

  • Clinical Social Worker
  • Cordova, TN
National Provider Identifier
1588469274
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9436 Issued in TN
Practice address
8000 Centerview Pkwy Ste 201
Cordova, TN 38018-4256
Phone
(615) 320-1155
Fax
(615) 320-1177
NPI assigned
Feb 17, 2025
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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 9436 TN Primary

Addresses

Primary practice location

8000 Centerview Pkwy Ste 201
Cordova, TN 38018-4256

Mailing address

220 Athens Way Ste 104
Nashville, TN 37228-1351
Phone (615) 320-1155

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250224000286 TN Practitioner - Clinical Social Worker 4880114701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athena Consulting and Psychological Services, PLLCGroup PAC ID 5294719795, 60 clinicians

Practice addresses (Care Compare)

8000 Centerview Pkwy
Suite 201
Cordova, TN 38018-4256
Phone (615) 320-1155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9436TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Consulting and Psychological Services, PLLC Clinical CurrentSince Feb 18, 2025 Accepting new patients

Locations

8000 Centerview Pkwy
Ste 201
Cordova, TN 38018
Phone (877) 641-1155

109 Hazel Path
Ste 4
Hendersonvlle, TN 37075
Phone (615) 822-4099

220 Athens Way
Ste 104
Nashville, TN 37228
Phone (615) 380-4725

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1588469274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ATHENS WAY STE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281351",
            "telephone_number": "615-320-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 CENTERVIEW PKWY STE 201",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184256",
            "telephone_number": "615-320-1155",
            "fax_number": "615-320-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KALEIGH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.