Individual provider Active NPI

Tabitha R Walton, LCSW

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1619783008
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9332 Issued in TN
Practice address
8994 Highway 70
Nashville, TN 37221-5809
Phone
(615) 422-5161
NPI assigned
Dec 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 122447 CA
Clinical Social Worker 1041C0700X 9332 TN Primary

Addresses

Primary practice location

8994 Highway 70
Nashville, TN 37221-5809

Mailing address

8994 Highway 70
Nashville, TN 37221-5809
Phone (360) 450-1064

Other identifiers 2

IdentifierTypeStateIssuer
122447OtherCASTATE OF CALIFORNIA BOARD OF BEHAVIORAL SCIENCES
9332OtherTNTENNESSEE BOARD OF SOCIAL WORKER LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
122447CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1619783008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8994 HIGHWAY 70",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372215809",
            "telephone_number": "360-450-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8994 HIGHWAY 70",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372215809",
            "telephone_number": "615-422-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "TABITHA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "122447",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "122447",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE BOARD OF SOCIAL WORKER LICENSURE",
            "identifier": "9332",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.