Active NPI
Venee Marie Hummel, LCSW
- Clinical Social Worker
- Clarksville, TN
National Provider Identifier
1780057257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7112
- Practice address
- 775 Weatherly Dr
Clarksville, TN 37043 - Phone
- (931) 221-3850
- Fax
- (931) 221-3852
- NPI assigned
- Nov 5, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 59278 | TX | |
| Clinical Social Worker | 1041C0700X | 7112 | TN | Primary |
Addresses
Primary practice location
775 Weatherly Dr
Clarksville, TN 37043
Mailing address
775 Weatherly Dr
Clarksville, TN 37043-8942
Phone (931) 221-3850
Other practice location 1
1103 W Stan Schlueter Loop
Suite 100 Bldg A
Killeen, TX 76549
Phone (254) 213-7847 ext. 530
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191226001824 | TN | Practitioner - Clinical Social Worker | 9335573476 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1921 Ransom PL
Nashville, TN 37217-3841
1921 Ransom Place
Nashville, TN 37217-3841
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59278 | TX | MD | Social Worker |
| 7112 | TN | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Endeavors, Inc | Past | Accepting new patients | |
| Family Endeavors, Inc | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- El Paso, TX
- NPI 1538745484
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Killeen, TX
- NPI 1922507417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1780057257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 WEATHERLY DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370438942",
"telephone_number": "931-221-3850",
"fax_number": "931-221-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 WEATHERLY DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37043",
"telephone_number": "931-221-3850",
"fax_number": "931-221-3852"
}
],
"practiceLocations": [
{
"address_1": "1103 W Stan Schlueter Loop",
"address_2": "Suite 100 Bldg A",
"address_purpose": "LOCATION",
"city": "Killeen",
"state": "TX",
"postal_code": "76549",
"country_code": "US",
"telephone_number": "254-213-7847 x530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUMMEL",
"first_name": "VENEE",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-05",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "59278",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "7112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.