Tammie Renee Crecelius, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW0000004196 Issued in TN

Practice address

228 W Main St
Suite B
Lebanon, TN 37087-2744

Phone

(615) 830-2166

Fax

(615) 453-9697

NPI assigned

May 15, 2007

Last updated

Jun 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resolution Therapy Associates, PLLCGroup PAC ID 6305925876, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BHIBDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Resolution Therapy Associates, PLLC

  • Counseling Psychologist
  • Lebanon, TN
  • NPI 1295908416

  Clinical

  Medicare reassignment Care Compare group NPD
• Lindsay Keith MD PLLC

  • Surgery Physician
  • Murfreesboro, TN
  • NPI 1871282418
  NPD (past)
• Mid South Psychiatric Associates

  • Prescribing (Medical) Psychologist
  • Murfreesboro, TN
  • NPI 1013109511

  Clinical

  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1861608895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W MAIN ST",
            "address_2": "SUITE B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872744",
            "telephone_number": "615-830-2166",
            "fax_number": "615-895-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W MAIN ST",
            "address_2": "SUITE B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872744",
            "telephone_number": "615-830-2166",
            "fax_number": "615-453-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRECELIUS",
        "first_name": "TAMMIE",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LCSW0000004196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENSE",
            "identifier": "LCSW0000004196",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Philip Cornelius, MD
• Cornerstone Pulmonary and Critical Care Associates, PLLC
• Leah Coughennower
• Julie M Countess, M.D.
• Thomas O. Cragwall, DPH
• Allison Cress, FNP
• Ashley Creviston
• Tonja Crips, SLP-CCC
• Erin McCulloch Crisp, PAC
• Carol V Crockett, PTA

• Clinical Social Worker in Lebanon, TN
• Providers in Lebanon, 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 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.