Giavante Douglas, LMSW

Individual provider Active NPI Clinical Social Worker · Brownsville, TN

NPI 1992490122 · NPPES record last updated Jan 23, 2026

Key facts

NPI
1992490122
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
9683 (TN)
Practice address
19 N Court SQ Ste 5
Brownsville, TN 38012-2501
Phone
(731) 443-9653
NPI assigned
Apr 5, 2023
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
11631TNMDMental Health Counselor
9683TNMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9683 TN Yes
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

Other providers in Brownsville, TN

All providers in Brownsville, TN · Clinical Social Worker in Tennessee

Sources for this page

Verify at the official NPI Registry.