Active NPI
Tonja Brown, MSSW, LAPSW
- Social Worker
- Cordova, TN
National Provider Identifier
1811240088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW0000000192
- Practice address
- 1165 Breezy Valley Dr
Cordova, TN 38018-6668 - Phone
- (901) 428-9989
- NPI assigned
- Oct 24, 2012
- Last updated
- Oct 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Social Worker | 104100000X | ASW0000000192 | TN | Primary |
Addresses
Primary practice location
1165 Breezy Valley Dr
Cordova, TN 38018-6668
Mailing address
1165 Breezy Valley Dr
Cordova, TN 38018-6668
Phone (901) 428-9989
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW0000000192 | TN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351036800000",
"number": "1811240088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1165 BREEZY VALLEY DR",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186668",
"telephone_number": "901-428-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 BREEZY VALLEY DR",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186668",
"telephone_number": "901-428-9989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TONJA",
"name_prefix": "Mrs.",
"credential": "MSSW, LAPSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-24",
"last_updated": "2012-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "ASW0000000192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.