Individual provider Active NPI

Jamila Walker, LCSW

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1740619758
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6684 Issued in TN
Practice address
4205 Hillsboro Pike
Nashville, TN 37215-3336
Phone
(615) 389-1292
NPI assigned
Nov 11, 2013
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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 6684 TN Primary

Addresses

Primary practice location

4205 Hillsboro Pike
Nashville, TN 37215-3336

Mailing address

215 Treutland Ave
Nashville, TN 37207-5933
Phone (615) 970-1246

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
I20191022000468 TN Practitioner - Clinical Social Worker 0941532105 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6684TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Emotional Wellness Counseling PLLC Clinical CurrentSince Apr 20, 2018 Accepting new patients
Nashville Emotional Wellness Counseling PLLC Clinical PastSince Jul 25, 2019 Accepting new patients

Locations

4205 Hillsboro Pike
Ste 314
Nashville, TN 37215
Phone (615) 241-6332

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1740619758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TREUTLAND AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372075933",
            "telephone_number": "615-970-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 HILLSBORO PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153336",
            "telephone_number": "615-389-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JAMILA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-11",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.