Takisha Woolfolk

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6360 Issued in TN

Practice address

1310 24TH Ave S Dept of
Nashville, TN 37212-2637

Phone

(615) 327-4751

NPI assigned

Sep 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1598014318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 MASSMAN DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372171756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 24TH AVE S DEPT OF",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122637",
            "telephone_number": "615-327-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLFOLK",
        "first_name": "TAKISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW8158",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Woodward, P.T.
• Austin Woolard, M.D.
• Andrew Robert Wooldridge, M.D.
• Kathleene Thornton Wooldridge, M.D.
• Wilhelm Edward Woolery, M.D.
• Lynda Mae Woolley, FNP
• Jessica R Woolsey, CRNA
• Celeste Good Woolum, PA-C
• Celia L. Woolverton, LCSW
• Charlton Woosley II

• Clinical Social Worker in Nashville, TN
• Providers in Nashville, 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 Aug 9, 2023; 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.