Individual provider Active NPI

Charly A. Bjornsen, MSSW, LCSW

  • Clinical Social Worker
  • Brentwood, TN
National Provider Identifier
1891258406
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6927 Issued in TN
Practice address
5217 Maryland Way Ste 307
Brentwood, TN 37027-1056
Phone
(615) 882-1792
Fax
(615) 807-3714
NPI assigned
Apr 10, 2019
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 6927 TN Primary

Addresses

Primary practice location

5217 Maryland Way Ste 307
Brentwood, TN 37027-1056

Mailing address

5217 Maryland Way Ste 307
Brentwood, TN 37027-1056
Phone (615) 882-1792

Other practice location 1

442 Metroplex Dr Ste 200
Nashville, TN 37211-3112
Phone (615) 227-3000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190522003030 TN Practitioner - Clinical Social Worker 8921341512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RH Mental Health LLCGroup PAC ID 2961871397, 14 clinicians

Practice addresses (Care Compare)

5217 Maryland Way
Suite 307
Brentwood, TN 37027-1056
Phone (615) 882-1792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rutherford County Primary Care CurrentSince Sep 1, 2019 Accepting new patients
Wellbee One CurrentSince Aug 18, 2024 Accepting new patients
RH Mental Health, LLC CurrentSince Aug 21, 2024 Accepting new patients

Locations

5217 Maryland Way
Ste 307
Brentwood, TN 37027
Phone (615) 496-5042

1453 Hope Way
Murfreesboro, TN 37129
Phone (615) 893-9390

1608 Williams Dr
Ste 301
Murfreesboro, TN 37129
Phone (615) 653-4115

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1891258406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5217 MARYLAND WAY STE 307",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271056",
            "telephone_number": "615-882-1792",
            "fax_number": "615-807-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 MARYLAND WAY STE 307",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271056",
            "telephone_number": "615-882-1792",
            "fax_number": "615-807-3714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "442 Metroplex Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372113112",
            "country_code": "US",
            "telephone_number": "615-227-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BJORNSEN",
        "first_name": "CHARLY",
        "middle_name": "A.",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.