Individual provider Active NPI

Elizabeth E Roberson Harrison, LCSW

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1740585652
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5701 Issued in TN
Practice address
1062 Todd Preis Dr
Nashville, TN 37221-2478
Phone
(423) 747-0775
NPI assigned
Jan 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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 5701 TN Primary

Addresses

Primary practice location

1062 Todd Preis Dr
Nashville, TN 37221-2478

Mailing address

1062 Todd Preis Dr
Nashville, TN 37221-2478
Phone (423) 747-0775

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
I20150727002161 TN Practitioner - Clinical Social Worker 2668786286 Reassigns benefits to 1 organization
Practice locations: Nashville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
East Tennessee State University Quillen College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

105 Continental PL
Suite 105
Brentwood, TN 37027-1052
Phone (888) 374-5066

5030 Carothers Pkwy
Suite 120
Franklin, TN 37067-6030
Phone (888) 374-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5701TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Jun 3, 2024 Accepting new patients
Family Care Center, LLC CurrentSince Jun 3, 2024 Accepting new patients
Peace of Mind Therapy Services Clinical Past Accepting new patients

Locations

5030 Carothers Pkwy
Ste 120
Franklin, TN 37067
Phone (615) 534-2176

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15315/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1740585652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 TODD PREIS DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212478",
            "telephone_number": "423-747-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 TODD PREIS DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212478",
            "telephone_number": "423-747-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON HARRISON",
        "first_name": "ELIZABETH",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.