Individual provider Active NPI

Lisa Renee Stillion, LCSW

  • Clinical Social Worker
  • Bartlett, TN
National Provider Identifier
1013681048
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7436 Issued in TN
Practice address
4843 Valley Von Way
Bartlett, TN 38002-7507
Phone
(904) 673-6854
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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 7436 TN Primary

Addresses

Primary practice location

4843 Valley Von Way
Bartlett, TN 38002-7507

Mailing address

4843 Valley Von Way
Bartlett, TN 38002-7507
Phone (904) 673-6854

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
I20220810001936 TN Practitioner - Clinical Social Worker 1456734391 Reassigns benefits to 1 organization
Practice locations: Bartlett, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Florida State University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4843 Valley Von Way
Bartlett, TN 38002-7507
Phone (904) 673-6854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7436TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jan 20, 2024 Accepting new patients

Locations

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

Networks

  • MS PPO C-SNP
  • MS PPO
  • KY PPO
  • MS PPO D-SNP

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.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1013681048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4843 VALLEY VON WAY",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "380027507",
            "telephone_number": "904-673-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4843 VALLEY VON WAY",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "380027507",
            "telephone_number": "904-673-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLION",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.