Individual provider Active NPI

Irena Stjepic, LCSW

  • Case Manager/Care Coordinator
  • Nashville, TN
National Provider Identifier
1235310210
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
4205 Hillsboro Pike Ste 312
Nashville, TN 37215-3339
Phone
(615) 496-6040
NPI assigned
Nov 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary
Clinical Social Worker 1041C0700X 6426 TN

Addresses

Primary practice location

4205 Hillsboro Pike Ste 312
Nashville, TN 37215-3339

Mailing address

4205 Hillsboro Pike Ste 312
Nashville, TN 37215-3339
Phone (615) 496-6040

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

LicenseStateTypeSpecialty
6426TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skupa Therapy LLC CurrentSince Aug 29, 2021 Accepting new patients

Locations

4205 Hillsboro Pike
Ste 312
Nashville, TN 37215
Phone (615) 496-6040

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": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1235310210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 HILLSBORO PIKE STE 312",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153339",
            "telephone_number": "615-496-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 HILLSBORO PIKE STE 312",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153339",
            "telephone_number": "615-496-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STJEPIC",
        "first_name": "IRENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6426",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.