Active NPI
Beverly Booth Lowdermilk, LCSW
- Clinical Social Worker
- Fayetteville, TN
National Provider Identifier
1669769014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4215
- Practice address
- 704 Maple St W
Fayetteville, TN 37334-3202 - Phone
- (931) 438-3233
- Fax
- (931) 438-0727
- NPI assigned
- Jul 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4215 | TN | Primary |
Addresses
Primary practice location
704 Maple St W
Fayetteville, TN 37334-3202
Mailing address
316 College St E
Fayetteville, TN 37334-3006
Phone (931) 227-8031
Other names 1
- Beverly Booth Anderson
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4215 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386547200000",
"number": "1669769014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 COLLEGE ST E",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373343006",
"telephone_number": "931-227-8031",
"fax_number": "931-438-0727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 MAPLE ST W",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373343202",
"telephone_number": "931-438-3233",
"fax_number": "931-438-0727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWDERMILK",
"first_name": "BEVERLY",
"middle_name": "BOOTH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-06",
"last_updated": "2013-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "4215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BEVERLY",
"last_name": "ANDERSON",
"middle_name": "BOOTH",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fayetteville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.