Individual provider Active NPI

Nathan A. De Graaf, L.C.S.W.

  • Clinical Social Worker
  • Hendersonville, TN
National Provider Identifier
1770640757
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3866 Issued in TN
Practice address
623 E Main St Ste 4
Hendersonville, TN 37075-2641
Phone
(615) 828-8488
Fax
(615) 826-8290
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3866 TN Primary

Addresses

Primary practice location

623 E Main St Ste 4
Hendersonville, TN 37075-2641

Mailing address

103 Deer Ridge LN
Hendersonville, TN 37075-5078
Phone (615) 826-8290

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
I20050830000398 TN Practitioner - Clinical Social Worker 4587695580 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3866TNMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Path Recovery LLC CurrentSince May 23, 2025 Accepting new patients
Paradigm Health Services, Inc Clinical Past Accepting new patients

Locations

1994 Gallatin Pike N
Ste 100
Madison, TN 37115
Phone (615) 946-6992

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770640757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DEER RIDGE LN",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370755078",
            "telephone_number": "615-826-8290",
            "fax_number": "615-826-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 E MAIN ST STE 4",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752641",
            "telephone_number": "615-828-8488",
            "fax_number": "615-826-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GRAAF",
        "first_name": "NATHAN",
        "middle_name": "A.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "3866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.