Organization Active NPI

Jewish Family Service of Nashville and Middle Tennessee, Inc.

Doing business as Jewish Family Service

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1912092487
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JEWISH FAMILY SERVICE OF NASHVILLE AND MIDDLE TENNESSEE, INC.
Doing business as
Jewish Family Service
Practice address
801 Percy Warner Blvd.
Suite 103
Nashville, TN 37205-4218
Phone
(615) 356-4234
Fax
(615) 301-0676
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Mrs. Pamela G. Kelner
Title
Executive Director
Phone
(615) 354-1644

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X TN Primary
Public Health or Welfare Agency 251K00000X 780004424 TN

Addresses

Primary practice location

801 Percy Warner Blvd.
Suite 103
Nashville, TN 37205-4218

Mailing address

801 Percy Warner Blvd.
Suite 103
Nashville, TN 37205-4218
Phone (615) 356-4234

Other names 1

  • Jewish Family Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091113000301 TN Part B Supplier - Clinic/Group Practice 1254479140 Receives reassigned benefits from 2 practitioners
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations

801 Percy Warner Blvd
Nashville, TN 37205
Phone (615) 356-4234

801 Percy Warner Blvd
Ste 103
Nashville, TN 37205
Phone (615) 356-4234

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1912092487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PERCY WARNER BLVD.",
            "address_2": "SUITE 103",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372054218",
            "telephone_number": "615-356-4234",
            "fax_number": "615-301-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PERCY WARNER BLVD.",
            "address_2": "SUITE 103",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372054218",
            "telephone_number": "615-356-4234",
            "fax_number": "615-301-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH FAMILY SERVICE OF NASHVILLE AND MIDDLE TENNESSEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "KELNER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-354-1644",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TN",
            "license": "780004424",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jewish Family Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.