Individual provider Active NPI

Tasleem Pierce

  • Clinical Social Worker
  • MC Kenzie, TN
National Provider Identifier
1649959826
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.025734 Issued in IL
Practice address
1525 Stonewall St N
MC Kenzie, TN 38201-1265
Phone
(731) 336-2089
NPI assigned
Jul 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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 149.025734 IL Primary

Addresses

Primary practice location

1525 Stonewall St N
MC Kenzie, TN 38201-1265

Mailing address

1525 Stonewall St N
MC Kenzie, TN 38201-1265
Phone (731) 336-2089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231031003694 IL Practitioner - Clinical Social Worker 3779939400 Reassigns benefits to 3 organizations
I20240117003130 TN Practitioner - Clinical Social Worker 3779939400 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BH Services Southeast 1 PCGroup PAC ID 7012457054, 96 clinicians

Practice addresses (Care Compare)

18 N Cavalier Dr
Alamo, TN 38001-6468
Phone (731) 696-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.025734ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care of Tennessee LLC CurrentSince Mar 28, 2024 Accepting new patients
BMSC Az LLC Clinical CurrentSince Dec 5, 2023 Accepting new patients
Ipc Pac Healthcare Services of Tennessee PC CurrentSince Nov 4, 2024 Accepting new patients
Sondermind PC Clinical CurrentSince Mar 25, 2025 Accepting new patients
BH Services Southeast 1 PC CurrentSince Mar 1, 2025 Accepting new patients
Sondermind, P.a. Clinical CurrentSince Mar 25, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Sep 30, 2023 Accepting new patients
NV Pacs 2 LLC CurrentSince Nov 4, 2024 Accepting new patients
Blue Moon Senior Counseling of Illinois LLC Clinical CurrentSince Dec 4, 2023 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Nov 4, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

416 Main St
Ste 601
Peoria, IL 61602
Phone (309) 945-3305

10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

1250 Farrow Rd
Memphis, TN 38116
Phone (901) 305-0878

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1649959826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 STONEWALL ST N",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011265",
            "telephone_number": "731-336-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 STONEWALL ST N",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011265",
            "telephone_number": "731-336-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "TASLEEM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Kenzie, TN

Sources for this page

Verify at the official NPI Registry.