Individual provider Active NPI

Brian T Silverthorn, LCSW

  • Clinical Social Worker
  • Lewisburg, TN
National Provider Identifier
1992876841
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000004070 Issued in TN
Practice address
1601 Nashville Hwy
Lewisburg, TN 37091-2948
Phone
(931) 359-5802
Fax
(931) 359-0148
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSW0000004070 TN Primary

Addresses

Primary practice location

1601 Nashville Hwy
Lewisburg, TN 37091-2948

Mailing address

1601 Nashville Hwy
Lewisburg, TN 37091-2948
Phone (931) 359-5802

Other identifiers 1

IdentifierTypeStateIssuer
364365422OtherTNTAX ID

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
LSW0000004070TNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1992876841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NASHVILLE HWY",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912948",
            "telephone_number": "931-359-5802",
            "fax_number": "931-359-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NASHVILLE HWY",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912948",
            "telephone_number": "931-359-5802",
            "fax_number": "931-359-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERTHORN",
        "first_name": "BRIAN",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000004070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "364365422",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.