Individual provider Active NPI

Joshua M Chestnut, L.C.S.W

  • Clinical Social Worker
  • Murfreesboro, TN
National Provider Identifier
1891991980
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000004839 Issued in TN
Practice address
1831 Heritage Park PLZ
Murfreesboro, TN 37129-1547
Phone
(615) 427-0564
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4839 TN
Clinical Social Worker 1041C0700X LSW0000004839 TN Primary

Addresses

Primary practice location

1831 Heritage Park PLZ
Murfreesboro, TN 37129-1547

Mailing address

329 Fazio CT
Bell Buckle, TN 37020-6085
Phone (615) 233-5650

Other identifiers 1

IdentifierTypeStateIssuer
LSW0000004839OtherTNLCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW0000004839TNMDClinical Social Worker
4839TNMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1891991980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 FAZIO CT",
            "city": "BELL BUCKLE",
            "state": "TN",
            "postal_code": "370206085",
            "telephone_number": "615-233-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 HERITAGE PARK PLZ",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291547",
            "telephone_number": "615-427-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTNUT",
        "first_name": "JOSHUA",
        "middle_name": "M",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4839",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000004839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "LSW0000004839",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.