Active NPI
Jan Stewart, LICENSED CLINICAL SO
- Clinical Social Worker
- Madisonville, TN
National Provider Identifier
1164649083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW664
- Practice address
- 4233 Highway 411
Madisonville, TN 37354-1571 - Phone
- (423) 884-1950
- NPI assigned
- Apr 20, 2007
- Last updated
- May 5, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1513312 | Medicaid | TN |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LSW664 | TN | MD | Clinical Social Worker |
| 000510023 | TN | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Medical Care of Monroe County PC | Current | Accepting new patients | |
| Wound Healing Solutions Mdvawv LLC | Past | Accepting new patients |
Locations
4233 Highway 411
Madisonville, TN 37354
Phone (423) 442-8084
Interoperability endpoints
- https://api.platform.athenahealth.com/12911/brand/1/csg/1/fhir/r4
- 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.
-
- General Practice Physician
- Madisonville, TN
- NPI 1962877712
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1699710194
-
- Nurse Practitioner
- Barrington, NJ
- NPI 1396125845
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.