Individual provider Active NPI

Judith A. Schlan, L.C.S.W.

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1629151808
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
975 Issued in TN
Practice address
2409 21St Ave S
Suite 104
Nashville, TN 37212-5317
Phone
(615) 463-7883
Fax
(615) 463-7884
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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 975 TN Primary

Addresses

Primary practice location

2409 21St Ave S
Suite 104
Nashville, TN 37212-5317

Mailing address

2021 21St Ave S
Suite 302
Nashville, TN 37212-4342
Phone (615) 944-1938

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
975TNMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1629151808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 21ST AVE S",
            "address_2": "SUITE 302",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124342",
            "telephone_number": "615-944-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 21ST AVE S",
            "address_2": "SUITE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372125317",
            "telephone_number": "615-463-7883",
            "fax_number": "615-463-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLAN",
        "first_name": "JUDITH",
        "middle_name": "A.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "975",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 21, 2009; 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.