Active NPI
Jenna Slate, LMSW
- Social Worker
- Clarksville, TN
National Provider Identifier
1801619838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 13349
- Practice address
- 2004 Stoney Creek CT
Clarksville, TN 37040-6029 - Phone
- (931) 980-6952
- NPI assigned
- Nov 7, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 13349 | TN | Primary |
Addresses
Primary practice location
2004 Stoney Creek CT
Clarksville, TN 37040-6029
Mailing address
2004 Stoney Creek CT
Clarksville, TN 37040-6029
Other practice location 1
2004 Stoney Creek Ct
Clarksville, TN 37040-6029
Other practice location 2
2004 Stoney Creek CT
Clarksville, TN 37040
Other practice location 3
2004 Stoney Creek Ct
Clarksville, TN 37040-6029
Other practice location 4
2004 Stoney Creek Ct
Clarksville, TN 37040-6029
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1801619838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 STONEY CREEK CT",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370406029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 STONEY CREEK CT",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370406029",
"telephone_number": "931-980-6952"
}
],
"practiceLocations": [
{
"address_1": "2004 Stoney Creek Ct",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "TN",
"postal_code": "370406029",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2004 STONEY CREEK CT",
"address_purpose": "LOCATION",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37040",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2004 Stoney Creek Ct",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "TN",
"postal_code": "370406029",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2004 Stoney Creek Ct",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "TN",
"postal_code": "370406029",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLATE",
"first_name": "JENNA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-07",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "13349",
"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 Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.