Individual provider Active NPI

Christine B Jordan, LCSW

  • Clinical Social Worker
  • Brentwood, TN
National Provider Identifier
1790875839
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
6825 Walnut Hills Dr
Brentwood, TN 37027-7804
Phone
(615) 331-1436
Fax
(615) 331-1436
NPI assigned
Oct 12, 2006
Sex
Female
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 Primary

Addresses

Primary practice location

6825 Walnut Hills Dr
Brentwood, TN 37027-7804

Mailing address

6825 Walnut Hills Dr
Brentwood, TN 37027-7804
Phone (615) 331-1436

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

LicenseStateTypeSpecialty
4038TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Medical Group PC CurrentSince Jul 17, 2012 Accepting new patients
Momentum Rehab, Inc. Past Accepting new patients

Locations

1910 Church St
Ste 200
Nashville, TN 37203
Phone (615) 208-9010

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790875839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 WALNUT HILLS DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277804",
            "telephone_number": "615-331-1436",
            "fax_number": "615-331-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 WALNUT HILLS DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277804",
            "telephone_number": "615-331-1436",
            "fax_number": "615-331-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CHRISTINE",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, 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.

Verify at the official NPI Registry.