Shuwanna K Teague-Redferrin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4920 Issued in TN

Practice address

415 Locust St
Springfield, TN 37172-2417

Phone

(615) 337-1092

NPI assigned

Apr 14, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1881837342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5531 YOUNGVILLE RD",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371729101",
            "telephone_number": "615-337-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 LOCUST ST",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722417",
            "telephone_number": "615-337-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE-REDFERRIN",
        "first_name": "SHUWANNA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lauren Marie Tannahill, OTR/L
• Stanford Taylor
• Daniel Teague, OTR
• Bethany K Teas, DPT
• Daniel Isai Telles Orellana
• Tennessee CVS Pharmacy, L.L.C.
• Tennessee Dental Professionals, PC

• Clinical Social Worker in Springfield, TN
• Providers in Springfield, 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 Jan 17, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.