Active NPI
Gregory Washington, PHD, LCSW
- Clinical Social Worker
- Memphis, TN
National Provider Identifier
1891984571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW0000004802
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | C10431 | MS | |
| Clinical Social Worker | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4802 | TN | MD | Mental Health Counselor |
| C10431 | MS | MD | Clinical Social Worker |
| LSW0000004802 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Families, Inc. of Arkansas | Past | Accepting new patients | |
| Families, Inc of Arkansas | Multi-Specialty | Past | 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.
-
- Case Management Agency
- Memphis, TN
- NPI 1326116476
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jonesboro, AR
- NPI 1770535569
Multi-Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Walnut Ridge, AR
- NPI 1447421169
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.