Individual provider Active NPI

Giavante Douglas, LMSW

  • Clinical Social Worker
  • Brownsville, TN
National Provider Identifier
1992490122
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9683 Issued in TN
Practice address
19 N Court SQ Ste 5
Brownsville, TN 38012-2501
Phone
(731) 443-9653
NPI assigned
Apr 5, 2023
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9683 TN Primary
Mental Health Counselor 101YM0800X 11631 TN

Addresses

Primary practice location

19 N Court SQ Ste 5
Brownsville, TN 38012-2501

Mailing address

1950 Highway 138
Mercer, TN 38392-7330
Phone (731) 443-9653

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
I20260304002695 TN Practitioner - Clinical Social Worker 9830539923 Reassigns benefits to 1 organization
Practice locations: Brownsville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19 N Court SQ
Suite 5
Brownsville, TN 38012-2501
Phone (731) 443-9653

1950 Hwy 138
Mercer, TN 38392

1950 Hwy 138
Mercer, TN 38392-7330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11631TNMDMental Health Counselor
9683TNMDClinical Social Worker

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1992490122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 HIGHWAY 138",
            "city": "MERCER",
            "state": "TN",
            "postal_code": "383927330",
            "telephone_number": "731-443-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 N COURT SQ STE 5",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380122501",
            "telephone_number": "731-443-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "GIAVANTE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9683",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "11631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TN

Sources for this page

Verify at the official NPI Registry.