Active NPI
Chesney Ward
- Social Worker
- Clarksville, TN
National Provider Identifier
1982163762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12166
- Practice address
- 210 Needmore Rd
Clarksville, TN 37040-6993 - Phone
- (931) 542-6758
- NPI assigned
- Mar 19, 2019
- 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 | 12166 | TN | Primary |
Addresses
Primary practice location
210 Needmore Rd
Clarksville, TN 37040-6993
Mailing address
210 Needmore Rd
Clarksville, TN 37040-6993
Phone (931) 542-6758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12166 | Medicaid | TN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1982163762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 NEEDMORE RD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370406993",
"telephone_number": "931-542-6758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 NEEDMORE RD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370406993",
"telephone_number": "931-542-6758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "CHESNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "12166",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12166",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}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 Mar 19, 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.