Individual provider Active NPI

Charles W Hearn Jr., LCSW

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1730129362
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4525 Harding Pike Ste 200
Nashville, TN 37205-2154
Phone
(615) 596-6339
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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 Primary

Addresses

Primary practice location

4525 Harding Pike Ste 200
Nashville, TN 37205-2154

Mailing address

386 Timberlane Dr
Pisgah Forest, NC 28768-7508
Phone (615) 596-6339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 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
I20060804000277 TN Practitioner - Clinical Social Worker 6002819307 Practice locations: Nashville, TN
I20250818001586 NC Practitioner - Clinical Social Worker 6002819307 Practice locations: Brevard, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

35 W Probart St
Brevard, NC 28712-4840
Phone (615) 596-7339

386 Timberlane Dr
Pisgah Forest, NC 28768-7508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1730129362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 TIMBERLANE DR",
            "city": "PISGAH FOREST",
            "state": "NC",
            "postal_code": "287687508",
            "telephone_number": "615-596-6339",
            "fax_number": "615-230-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 HARDING PIKE STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052154",
            "telephone_number": "615-596-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARN",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.