Individual provider Active NPI

Gregory Washington, PHD, LCSW

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1891984571
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000004802 Issued in TN
Practice address
4055 N Park Loop
Memphis, TN 38152-9675
Phone
(901) 830-5180
NPI assigned
Oct 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C10431 MS
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LSW0000004802 TN Primary

Addresses

Primary practice location

4055 N Park Loop
Memphis, TN 38152-9675

Mailing address

3069 Brambleberry CV
Southaven, MS 38672-6091
Phone (901) 830-5180

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
I20120510000106 TN Practitioner - Clinical Social Worker 0941385785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Case Management IncGroup PAC ID 5991807570, 7 clinicians

Practice addresses (Care Compare)

3171 Directors Row
Memphis, TN 38131-0405
Phone (901) 821-5841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4802TNMDMental Health Counselor
C10431MSMDClinical Social Worker
LSW0000004802TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Families, Inc. of Arkansas PastSince Jan 1, 1990 Accepting new patients
Families, Inc of Arkansas Multi-Specialty PastSince Jan 1, 1990 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1891984571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 BRAMBLEBERRY CV",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726091",
            "telephone_number": "901-830-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 N PARK LOOP",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381529675",
            "telephone_number": "901-830-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C10431",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000004802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.