Individual provider Active NPI

Jennie McSweeney, LCSW

  • Clinical Social Worker
  • Clarksville, TN
National Provider Identifier
1962095661
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7450 Issued in TN
Practice address
882 Kraft St Ste E
Clarksville, TN 37040-3062
Phone
(931) 216-5163
NPI assigned
Feb 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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 7450 TN Primary

Addresses

Primary practice location

882 Kraft St Ste E
Clarksville, TN 37040-3062

Mailing address

882 Kraft St Ste E
Clarksville, TN 37040-3062
Phone (931) 216-5163

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
I20240405003257 TN Practitioner - Clinical Social Worker 6608214853 Practice locations: Clarksville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

882 Kraft St
Suite E
Clarksville, TN 37040-3062
Phone (931) 216-5163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1962095661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 KRAFT ST STE E",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403062",
            "telephone_number": "931-216-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 KRAFT ST STE E",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403062",
            "telephone_number": "931-216-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSWEENEY",
        "first_name": "JENNIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.