Active NPI
Susan Schaeffer, LCSW
- Professional Counselor
- Madison, TN
National Provider Identifier
1760510333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCSW0000004577
- Practice address
- 620 Gallatin Pike S
Madison, TN 37115-4013 - Phone
- (615) 460-4382
- Fax
- (615) 460-4302
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCSW0000004577 | TN | Primary |
Addresses
Primary practice location
620 Gallatin Pike S
Madison, TN 37115-4013
Mailing address
1618 Forrest Ave
Nashville, TN 37206-1935
Phone (615) 460-4357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3989580 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW0000004577 | TN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760510333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 FORREST AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372061935",
"telephone_number": "615-460-4357",
"fax_number": "615-460-4302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 GALLATIN PIKE S",
"city": "MADISON",
"state": "TN",
"postal_code": "371154013",
"telephone_number": "615-460-4382",
"fax_number": "615-460-4302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFFER",
"first_name": "SUSAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "LCSW0000004577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3989580",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.