Individual provider Active NPI

Anne Bryan, LCSW

  • Clinical Social Worker
  • Germantown, TN
National Provider Identifier
1962912766
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000005459 Issued in TN
Practice address
7690 McHenry Cir S
Germantown, TN 38138-2238
Phone
(615) 417-5353
NPI assigned
Oct 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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 LSW0000005459 TN Primary

Addresses

Primary practice location

7690 McHenry Cir S
Germantown, TN 38138-2238

Mailing address

7690 McHenry Cir S
Germantown, TN 38138-2238

Other identifiers 1

IdentifierTypeStateIssuer
00000000000OtherNONE

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
I20180505000015 TN Practitioner - Clinical Social Worker 5698039329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Samaritan Counseling Center of the MidsouthGroup PAC ID 6305324955, 4 clinicians
Support Solutions of the Mid-SouthGroup PAC ID 0446418834, 3 clinicians

Practice addresses (Care Compare)

35 S Auburndale St
Memphis, TN 38104-3916
Phone (901) 729-3900

5909 Shelby Oaks Dr
Suite 100
Memphis, TN 38134-7304
Phone (901) 383-9193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW0000005459TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center of the Midsouth CurrentSince Dec 31, 2025 Accepting new patients
Support Solutions of the Mid-South CurrentSince Feb 12, 2018 Accepting new patients
Samaritan Counseling Centers of the Mid-South PastSince Sep 5, 2023 Accepting new patients

Locations

35 S Auburndale St
Memphis, TN 38104
Phone (901) 609-8247

5909 Shelby Oaks Dr
Ste 100
Memphis, TN 38134
Phone (901) 383-9193

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.

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1962912766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7690 MCHENRY CIR S",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7690 MCHENRY CIR S",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382238",
            "telephone_number": "615-417-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000005459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "00000000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.