Rita Clemons
Individual provider Active NPI Clinical Social Worker · Paris, TN
NPI 1740604347 · NPPES record last updated Feb 18, 2014
Key facts
- NPI
- 1740604347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LSW0000004867 (TN)
- Practice address
- 408 Virginia St
Paris, TN 38242-5341 - Phone
- (731) 642-0521
- Fax
- (731) 642-1010
- NPI assigned
- Feb 18, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW0000004347 | TN | MD | Social Worker |
| LSW0000004867 | TN | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW0000004867 | TN | Yes |
Addresses
Primary practice location
408 Virginia St
Paris, TN 38242-5341
Mailing address
408 Virginia St
PO Box 30
Paris, TN 38242-5341
Phone (731) 642-0521
Other providers in Paris, TN
- Charles a. Walker Dba Walker Pain Management Centers
- Brian Edward Cheek
- Morgan Chilcutt
- Kimberly Chisolm
- Kimberly Elaine Clark
- Jennifer A Cloar
- Andrew Clark Coleman
- Chad Coleman
- Joshua Coleman
- Julie Koechlein Coleman
All providers in Paris, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.