Individual provider Active NPI

Jan Stewart, LICENSED CLINICAL SO

  • Clinical Social Worker
  • Madisonville, TN
National Provider Identifier
1164649083
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW664 Issued in TN
Practice address
4233 Highway 411
Madisonville, TN 37354-1571
Phone
(423) 884-1950
NPI assigned
Apr 20, 2007
Last updated
May 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSW664 TN Primary
School Social Worker 1041S0200X 000510023 TN

Addresses

Primary practice location

4233 Highway 411
Madisonville, TN 37354-1571

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other identifiers 1

IdentifierTypeStateIssuer
1513312MedicaidTN

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
I20070723000818 TN Practitioner - Clinical Social Worker 0446351209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Tennessee, HSC, College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Medical Care of Monroe County PCGroup PAC ID 5496059107, 6 clinicians

Practice addresses (Care Compare)

4233 Hwy 411
Madisonville, TN 37354-1571
Phone (423) 442-8084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW664TNMDClinical Social Worker
000510023TNMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Care of Monroe County PC CurrentSince Apr 27, 2018 Accepting new patients
Wound Healing Solutions Mdvawv LLC PastSince Sep 5, 2015 Accepting new patients

Locations

4233 Highway 411
Madisonville, TN 37354
Phone (423) 442-8084

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12911/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jan.stewart.1@12911.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1164649083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 HIGHWAY 411",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541571",
            "telephone_number": "423-884-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JAN",
        "name_prefix": "Ms.",
        "credential": "LICENSED CLINICAL SO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW664",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "TN",
            "license": "000510023",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513312",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, TN

Sources for this page

Verify at the official NPI Registry.