Individual provider Active NPI

Briana Lavacot

  • Clinical Social Worker
  • Clarksville, TN
National Provider Identifier
1972066280
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7863 Issued in TN
Practice address
235 Dunbar Cave Rd Ste B
Clarksville, TN 37043-8829
Phone
(931) 444-3583
NPI assigned
Apr 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10477 TN
Clinical Social Worker 1041C0700X 7863 TN Primary

Addresses

Primary practice location

235 Dunbar Cave Rd Ste B
Clarksville, TN 37043-8829

Mailing address

235 Dunbar Cave Rd Ste B
Clarksville, TN 37043-8829
Phone (931) 444-3583

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherN/A

Other names 1

  • Briana Roberson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address briana@remadecc.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7863TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1972066280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 DUNBAR CAVE RD STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438829",
            "telephone_number": "931-444-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 DUNBAR CAVE RD STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438829",
            "telephone_number": "931-444-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVACOT",
        "first_name": "BRIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2022-05-05",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "10477",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "briana@remadecc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Limited information",
            "address_1": "235 Dunbar Cave Rd Ste B",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370438829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRIANA",
            "last_name": "ROBERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.