Individual provider Active NPI

Michael Warren

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1588794572
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5661 Issued in TN
Practice address
2670 Union Avenue Ext
Ste 1224
Memphis, TN 38112-4416
Phone
(901) 270-4084
NPI assigned
Mar 7, 2007
Last updated
Oct 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 5661 TN Primary

Addresses

Primary practice location

2670 Union Avenue Ext
Ste 1224
Memphis, TN 38112-4416

Mailing address

2238 Brewers LNDG
Memphis, TN 38104-4306
Phone (901) 210-0702

Other practice location 1

2238 Brewers Lndg
Memphis, TN 38104-4306
Phone (901) 210-0702

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
I20121108000642 TN Practitioner - Clinical Social Worker 9830340397 Practice locations: Memphis, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2670 Union Ave Ext
Suite 1224
Memphis, TN 38112-4416
Phone (901) 270-4084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Counseling Services LLC Clinical CurrentSince Dec 5, 2021 Accepting new patients

Locations

2670 Union Avenue Ext
Ste 1224
Memphis, TN 38112
Phone (901) 270-4084

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1588794572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 BREWERS LNDG",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044306",
            "telephone_number": "901-210-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 UNION AVENUE EXT",
            "address_2": "STE 1224",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124416",
            "telephone_number": "901-270-4084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2238 Brewers Lndg",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381044306",
            "country_code": "US",
            "telephone_number": "901-210-0702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.