Individual provider Active NPI

Venee Marie Hummel, LCSW

  • Clinical Social Worker
  • Clarksville, TN
National Provider Identifier
1780057257
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7112 Issued in TN
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

Updated by the provider on Sep 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
59278TXMDSocial Worker
7112TNMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.