Individual provider Active NPI

Rachel M Disney, LCSW

  • Clinical Social Worker
  • Manchester, TN
National Provider Identifier
1841852548
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6960 Issued in TN
Practice address
482 Interstate Dr Ste D
Manchester, TN 37355-3409
Phone
(931) 444-1000
Fax
(931) 728-1229
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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 6960 TN Primary

Addresses

Primary practice location

482 Interstate Dr Ste D
Manchester, TN 37355-3409

Mailing address

1129 Clay CT
Murfreesboro, TN 37128-3691
Phone (931) 580-6820

Other practice location 1

2441 Old Fort Pkwy Ste E
Murfreesboro, TN 37128-4162
Phone (615) 547-3490

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
6960TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Walk With Grace, LLC Clinical CurrentSince Jul 17, 2022 Accepting new patients
Centerwell Health Services USA, LLC Past Accepting new patients
Coffee Associates a Medical Management Organization, LLC Clinical Past Accepting new patients

Locations

145 Veterans Pkwy
Murfreesboro, TN 37128
Phone (615) 922-8851

Organizations & group practices 3

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1841852548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 CLAY CT",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371283691",
            "telephone_number": "931-580-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 INTERSTATE DR STE D",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553409",
            "telephone_number": "931-444-1000",
            "fax_number": "931-728-1229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2441 Old Fort Pkwy Ste E",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371284162",
            "country_code": "US",
            "telephone_number": "615-547-3490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISNEY",
        "first_name": "RACHEL",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.