DIVINE SOURCE
NPI 1316562218
Social Worker - Clinical in Hendersonville, TN

Active since June 16, 2020
141 COUNTRY CLUB DR, HENDERSONVILLE, TN 37075(615) 428-4425 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Divine Source NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE SOURCE (NPI 1316562218) is a healthcare organization registered as a clinical in Hendersonville, Tennessee and active in the NPI registry since June 2020. The organization lists Barbara M Gillam, Licensed Clinical Social Work, as its authorized official.

NPPES Registry Identity

NPI1316562218
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameDIVINE SOURCE
Location Address141 COUNTRY CLUB DRHendersonville, TN 37075-4041
Mailing Address141 Country Club DrHendersonville, TN 37075-4041 · (615) 428-4425
Organization SubpartNo
Authorized OfficialBarbara M GillamLicensed Clinical Social Work · (615) 428-4425
Enumeration DateJune 16, 2020
NPPES CertifiedJune 16, 2020
NPI 1316562218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
141 COUNTRY CLUB DR, Hendersonville, TN 37075

Other Names 1

Former Legal Business NameDivine Source

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Source's NPI number?

The NPI number for Divine Source is 1316562218. It was assigned to this organization in the NPPES registry on June 16, 2020.

Where is Divine Source located?

Divine Source is located at 141 Country Club Dr, Hendersonville, TN 37075. The listed phone number is (615) 428-4425.

What is Divine Source's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Divine Source was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.