Active NPI
Mary Kathryn Landers, LCSW
- Clinical Social Worker
- Collierville, TN
National Provider Identifier
1841940244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6271
- Practice address
- 574 Hermitage Trail Dr
Collierville, TN 38017-1926 - Phone
- (731) 234-7056
- NPI assigned
- Mar 28, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 106650 | TX | |
| Clinical Social Worker | 1041C0700X | 6271 | TN | Primary |
Addresses
Primary practice location
574 Hermitage Trail Dr
Collierville, TN 38017-1926
Mailing address
22 Century Blvd Ste 220
Nashville, TN 37214-3787
Phone (731) 234-7056
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 |
|---|---|---|---|
| 6271 | TN | MD | Clinical Social Worker |
| 106650 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1841940244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 CENTURY BLVD STE 220",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143787",
"telephone_number": "731-234-7056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "574 HERMITAGE TRAIL DR",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380171926",
"telephone_number": "731-234-7056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDERS",
"first_name": "MARY",
"middle_name": "KATHRYN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-28",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "106650",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "6271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Collierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.