Active NPI
Donna D Cole, LCSW
- Clinical Social Worker
- Jackson, TN
National Provider Identifier
1760581433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3132
- Practice address
- 233 Oil Well Rd Ste E
Jackson, TN 38305-8014 - Phone
- (731) 664-6525
- Fax
- (731) 660-8495
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3132 | TN | Primary |
Addresses
Primary practice location
233 Oil Well Rd Ste E
Jackson, TN 38305-8014
Mailing address
233 Oil Well Rd Ste E
Jackson, TN 38305-8014
Phone (731) 664-6525
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7412330 | Other | TN | AETNA |
| 4031806 | Other | TN | BCBS |
| 278233000 | Other | TN | MAGELLAN |
| 3698526 | 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 |
|---|---|---|---|
| 3132 | FL | MD | Clinical Social Worker |
| 3132 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Paradigm Health Services, Inc | Clinical | Past | Accepting new patients |
Interoperability endpoints
- donnacole@tdh.allscriptsdirect.net
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1760581433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 OIL WELL RD STE E",
"city": "JACKSON",
"state": "TN",
"postal_code": "383058014",
"telephone_number": "731-664-6525",
"fax_number": "731-660-8495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 OIL WELL RD STE E",
"city": "JACKSON",
"state": "TN",
"postal_code": "383058014",
"telephone_number": "731-664-6525",
"fax_number": "731-660-8495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "DONNA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "3132",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7412330",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4031806",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "278233000",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3698526",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.