Jennifer Pastusic, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007238 Issued in TN

Practice address

13180 McGill Rd
Soddy Daisy, TN 37379-7739

Phone

(423) 836-6881

NPI assigned

May 21, 2019

Last updated

Jun 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1831756246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13180 MCGILL RD",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373797739",
            "telephone_number": "423-836-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13180 MCGILL RD",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373797739",
            "telephone_number": "423-836-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTUSIC",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW0000010342",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "007238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Mullins
• Nina Newkirk-Pulliam
• Joshua Ryan Owensby, PHARMD
• Giselle Monee Esmeralda Paredes, PA-C
• Parkridge Medical Center, Inc. (Parkridge Soddy-Daisy ER, a department of Parkridge Medical Center)
• Kathleen Nicole Perez, ATC
• Physician Services Group
• Ashley Vanlandingham Platzer, PA-C
• Amy Poarch, CD(DONA)
• Richard John Prichard II, DDS

• Clinical Social Worker in Soddy Daisy, TN
• Providers in Soddy Daisy, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; 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.