Jon Blake Amonette
Individual provider Active NPI Social Worker · Columbia, TN
NPI 1609905942 · NPPES record last updated Aug 5, 2025
Key facts
- NPI
- 1609905942
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 800 S. James Campbell Blvd Ste 100
Columbia, TN 38401-6402 - Phone
- (931) 981-6930
- NPI assigned
- Mar 4, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
800 S. James Campbell Blvd Ste 100
Columbia, TN 38401-6402
Mailing address
800 S. James Campbell Blvd Ste 100
Columbia, TN 38401-6402
Phone (931) 981-6930
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.