Jeremy Brooks McKinnon, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LSW12970 Issued in TN

Practice address

120 Two Mile Pike
Goodlettsville, TN 37072-1832

Phone

(615) 239-1404

Fax

(615) 900-2716

NPI assigned

Feb 27, 2021

Last updated

Nov 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jeremy Ryan Brooks Former name

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": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1841884046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4813 CAPE HOPE PASS",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763669",
            "telephone_number": "615-440-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 TWO MILE PIKE",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721832",
            "telephone_number": "615-239-1404",
            "fax_number": "615-900-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "JEREMY",
        "middle_name": "BROOKS",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-27",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW12970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEREMY",
            "last_name": "BROOKS",
            "middle_name": "RYAN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grace McCall, LMT
• Molly Ryan McCarthy, LMT
• Diane Simone McDermott, MEDICAL DOCTOR
• Ronald Ian McDermott, MD
• Lori McKinney-Hagewood
• Brandon Robert McNickle, PA-C
• Michael S Metzman, M.D.
• Middle TN Clinic of Chiropractic
• Middle TN Snore & Sleep Apnea Solutions, PLLC
• Midsouth RX LLC

• Social Worker in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.