Active NPI
Stefanie Supenia, RCSWI
- Social Worker
- Maitland, FL
National Provider Identifier
1114869302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ISW23073
- Practice address
- 2700 Westhall LN Ste 207B
Maitland, FL 32751-7478 - Phone
- (352) 770-2422
- NPI assigned
- Apr 7, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 1511339 | FL | |
| Social Worker | 104100000X | ISW23073 | FL | Primary |
Addresses
Primary practice location
2700 Westhall LN Ste 207B
Maitland, FL 32751-7478
Mailing address
2700 Westhall LN Ste 207B
Maitland, FL 32751-7478
Phone (352) 770-2422
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW23073 | FL | MD | Social Worker |
| 1511339 | FL | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1114869302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 WESTHALL LN STE 207B",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517478",
"telephone_number": "352-770-2422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 WESTHALL LN STE 207B",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517478",
"telephone_number": "352-770-2422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUPENIA",
"first_name": "STEFANIE",
"name_prefix": "Mrs.",
"credential": "RCSWI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-07",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "FL",
"license": "1511339",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "FL",
"license": "ISW23073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
- Summerwood Home Health Services of District 7, LLC
- Sun State Dermatology, LLC
- Sunshine Interventional Pain and Wellness Center LLC
- Sunshine Pediatrics of Central Florida
- Sunshine Pediatrics of Central Florida, PL
- Aravinthan Suppiah, M.B:CH.B
- Supporting Independence Inc
- Surgical Advisory Service Inc
- Amy Lynn Susskind, OTR/L
- Louisa Ann Marie Sutherland, M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.