Organization Active NPI

West TN Family & Crisis Services Center LLC

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1891503876
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WEST TN FAMILY & CRISIS SERVICES CENTER LLC
Practice address
825 Berclair Rd Apt 8
Memphis, TN 38122-5404
Phone
(901) 206-6250
NPI assigned
Dec 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Prof. Adrian Dewayne Solomon, LCSW,MSSW, MHRTNPI 1881156073
Title
Ceo-Clinical Forensic Social Worker
Phone
(901) 206-6250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Community Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0812X

Addresses

Primary practice location

825 Berclair Rd Apt 8
Memphis, TN 38122-5404

Mailing address

116 Agnes Rd Ste 200
Knoxville, TN 37919-6306
Phone (901) 206-6250

Other identifiers 1

IdentifierTypeStateIssuer
FP1810OtherTNSTATE LICENSING BOARD OF SOCIAL WORK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1891503876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 AGNES RD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196306",
            "telephone_number": "901-206-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 BERCLAIR RD APT 8",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381225404",
            "telephone_number": "901-206-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TN FAMILY & CRISIS SERVICES CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "CEO-CLINICAL FORENSIC SOCIAL WORKER",
        "authorized_official_telephone_number": "901-206-6250",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "LCSW,MSSW, MHRT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SP0812X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING BOARD OF SOCIAL WORK",
            "identifier": "FP1810",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.