Active NPI
Jennifer Copley, LMSW
- Social Worker
- Talbott, TN
National Provider Identifier
1982151007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11050 (LMSW)
- Practice address
- 6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605 - Phone
- (423) 587-7337
- Fax
- (423) 586-0614
- NPI assigned
- Sep 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11050 (LMSW) | TN | Primary |
Addresses
Primary practice location
6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605
Mailing address
6350 W Andrew Johnson Hwy
Department 100
Talbott, TN 37877-8605
Phone (800) 355-3565
Other names 1
- Jennifer Nicole Russell
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11050 (LMSW) | TN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1982151007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 W ANDREW JOHNSON HWY",
"address_2": "DEPARTMENT 100",
"city": "TALBOTT",
"state": "TN",
"postal_code": "378778605",
"telephone_number": "800-355-3565",
"fax_number": "423-714-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6350 W ANDREW JOHNSON HWY",
"city": "TALBOTT",
"state": "TN",
"postal_code": "378778605",
"telephone_number": "423-587-7337",
"fax_number": "423-586-0614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPLEY",
"first_name": "JENNIFER",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "11050 (LMSW)",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "RUSSELL",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Talbott, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.