Individual provider Active NPI

Rosa Mizzoni

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1922472232
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000005251 Issued in TN
Practice address
4928 Edmondson Pike
Nashville, TN 37211-4787
Phone
(615) 222-1400
Fax
(615) 222-1410
NPI assigned
Nov 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSW0000005251 TN Primary

Addresses

Primary practice location

4928 Edmondson Pike
Nashville, TN 37211-4787

Mailing address

4928 Edmondson Pike
Nashville, TN 37211-4787

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
LSW0000005251TNMDClinical Social Worker
5251TNMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1922472232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4928 EDMONDSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4928 EDMONDSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114787",
            "telephone_number": "615-222-1400",
            "fax_number": "615-222-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZZONI",
        "first_name": "ROSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-24",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000005251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 20, 2019; 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.