Active NPI
Stefan Bain, MSW, LCSW
- Clinical Social Worker
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6460
- Practice address
- 1921 Ransom PL
Nashville, TN 37217-3841 - Phone
- (888) 291-4357
- NPI assigned
- Jan 1, 2013
- Last updated
- Nov 25, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS21512 | CA | |
| Clinical Social Worker | 1041C0700X | 6460 | TN | Primary |
Addresses
Primary practice location
1921 Ransom PL
Nashville, TN 37217-3841
Mailing address
1921 Ransom PL
Nashville, TN 37217-3841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS21512 | CA | MD | Clinical Social Worker |
| 6460 | TN | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Healthcare | Current | Accepting new patients | |
| Neighborhood Healthcare | Current | Accepting new patients | |
| El Dorado County Community Health Center | Past | Accepting new patients | |
| Shine Medical of Ca PC | Past | Accepting new patients |
Locations
855 E Madison Ave
El Cajon, CA 92020
Phone (619) 440-2751
215 S Hickory St
Escondido, CA 92025
Phone (619) 354-3833
425 N Date St
Escondido, CA 92025
Phone (760) 737-2035
1030 E Florida Ave
Hemet, CA 92543
Phone (951) 216-6100
41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400
Organizations & group practices 4
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.
-
dba Neighborhood Healthcare - Escondido
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1598703647
-
dba Neighborhood Healthcare - Beaumont
- Federally Qualified Health Center (FQHC)
- Beaumont, CA
- NPI 1629601653
-
dba El Dorado Community Health Center Cameron Park Main
- Federally Qualified Health Center (FQHC)
- Cameron Park, CA
- NPI 1073981783
-
- Psychiatry Physician
- San Jose, CA
- NPI 1942935473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1639415276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 RANSOM PL",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372173841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 RANSOM PL",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372173841",
"telephone_number": "888-291-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIN",
"first_name": "STEFAN",
"name_prefix": "Mr.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-01",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS21512",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "6460",
"primary": true
}
],
"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 Nov 25, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.