Individual provider Active NPI

Janet Weismark, LCSW

  • Clinical Social Worker
  • Springfield, TN
National Provider Identifier
1730241431
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWL1004 Issued in TN
Practice address
101 5TH Ave W
Springfield, TN 37172-2430
Phone
(615) 545-7888
Fax
(615) 384-2269
NPI assigned
Dec 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SWL1004 TN Primary

Addresses

Primary practice location

101 5TH Ave W
Springfield, TN 37172-2430

Mailing address

151 Carnavon Pkwy
Nashville, TN 37205-3938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071022000591 TN Practitioner - Clinical Social Worker 7113013152 Practice locations: Nashville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

173 Belle Forest Cir
Nashville, TN 37221-2163
Phone (615) 545-7888

173 Belle Forest Circle
Nashville, TN 37221-2163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWL1004TNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730241431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 CARNAVON PKWY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372053938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 5TH AVE W",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722430",
            "telephone_number": "615-545-7888",
            "fax_number": "615-384-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMARK",
        "first_name": "JANET",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "SWL1004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, TN

Sources for this page

Verify at the official NPI Registry.