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SANDRA GRESHAM
NPI 1770281669
Social Worker in Clarksville, TN

Active since February 20, 2023PECOS Enrolled
128 N 2ND ST STE 205, CLARKSVILLE, TN 37040(615) 348-5806 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sandra Gresham NPPES

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

SANDRA GRESHAM (NPI 1770281669) is an individual social worker in Clarksville, Tennessee, licensed in Tennessee (14076) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1770281669
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSANDRA GRESHAM
Location Address128 N 2ND ST STE 205Clarksville, TN 37040-6460
Mailing Address128 N 2nd St Ste 205Clarksville, TN 37040-6460
Phone(615) 348-5806
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 20, 2023
NPPES CertifiedFebruary 20, 2023
✔ NPI 1770281669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in TN · 14076
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
128 N 2ND ST STE 205, Clarksville, TN 37040
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Gresham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375027196
PECOS Enrollment IDI20260325002729
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER LYNN KEAN
Counselor (Mental Health)
128 N 2ND ST STE 205
CLARKSVILLE, TN 37040
Montgomery County (615) 348-5806

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 Sandra Gresham's NPI number?

The NPI number for Sandra Gresham is 1770281669. It was assigned to this individual provider in the NPPES registry on February 20, 2023.

Where is Sandra Gresham located?

Sandra Gresham practices at 128 N 2nd St Ste 205, Clarksville, TN 37040. The listed phone number is (615) 348-5806.

What is Sandra Gresham's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Sandra Gresham enrolled in Medicare?

Yes. Sandra Gresham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sandra Gresham was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.