Active NPI
West TN Family & Crisis Services Center LLC
- Clinical Social Worker
- Memphis, TN
National Provider Identifier
1891503876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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, MHRT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Community Psychiatric/Mental Health Clinical Nurse Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FP1810 | Other | TN | STATE LICENSING BOARD OF SOCIAL WORK |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Franklin, TN
- NPI 1881156073
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.