Individual provider Active NPI

Elaine Marie Suprano, LICSW

  • Clinical Social Worker
  • Columbia, TN
National Provider Identifier
1598224941
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6606 Issued in TN
Practice address
1792 Bear Creek Pike
Columbia, TN 38401-7653
Phone
(256) 452-1404
NPI assigned
Mar 15, 2019
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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 6606 TN Primary
Clinical Social Worker 1041C0700X 4033C AL

Addresses

Primary practice location

1792 Bear Creek Pike
Columbia, TN 38401-7653

Mailing address

84 Eastwood Dr
Anniston, AL 36207-9303
Phone (256) 452-1404

Other practice location 1

84 Eastwood Dr
Anniston, AL 36207-9303
Phone (256) 452-1404

Other identifiers 1

IdentifierTypeStateIssuer
6606OtherTNTENNESSEE LICENSE NUMBER

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
I20251104002829 TN Practitioner - Clinical Social Worker 5890285332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4033CALMDClinical Social Worker
6606TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Oct 4, 2025 Accepting new patients
Addiction & Mental Health Services, LLC Past Accepting new patients
Addiction & Mental Health Services Inc Past Accepting new patients

Locations

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

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": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1598224941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 EASTWOOD DR",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362079303",
            "telephone_number": "256-452-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 BEAR CREEK PIKE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384017653",
            "telephone_number": "256-452-1404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84 Eastwood Dr",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362079303",
            "country_code": "US",
            "telephone_number": "256-452-1404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUPRANO",
        "first_name": "ELAINE",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6606",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4033C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE LICENSE NUMBER",
            "identifier": "6606",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.