Active NPI
Anne K Crockett, LCSW
- Clinical Social Worker
- Columbia, TN
National Provider Identifier
1770652109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0000003258
- Practice address
- 801 School St Box 598
Centerstone Assoc
Columbia, TN 38402-0598 - Phone
- (931) 490-1460
- Fax
- (931) 490-1472
- NPI assigned
- Nov 7, 2006
- Last updated
- Jul 8, 2007
- 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 | 0000003258 | TN | Primary |
Addresses
Primary practice location
801 School St Box 598
Centerstone Assoc
Columbia, TN 38402-0598
Mailing address
PO Box 40406
Centerstone Assoc
Nashville, TN 37204
Phone (615) 463-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3696954 | 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 |
|---|---|---|---|
| 0000003258 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770652109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40406",
"address_2": "CENTERSTONE ASSOC",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37204",
"telephone_number": "615-463-6600",
"fax_number": "615-463-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 SCHOOL ST BOX 598",
"address_2": "CENTERSTONE ASSOC",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384020598",
"telephone_number": "931-490-1460",
"fax_number": "931-490-1472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROCKETT",
"first_name": "ANNE",
"middle_name": "K",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "0000003258",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3696954",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, 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.