Stephanie Elliott, LCSW
Individual provider Active NPI Clinical Social Worker · Lascassas, TN
NPI 1801694336 · NPPES record last updated Mar 3, 2025
Key facts
- NPI
- 1801694336
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9423 (TN)
- Practice address
- 1113 Pegasus Run
Lascassas, TN 37085-4345 - Phone
- (615) 613-2584
- NPI assigned
- Mar 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9423 | TN | Yes |
Addresses
Primary practice location
1113 Pegasus Run
Lascassas, TN 37085-4345
Mailing address
1113 Pegasus Run
Lascassas, TN 37085-4345
Other providers in Lascassas, TN
- Lori Alanis Hernandez
- Kristen E Brodie
- Deana Rae Dench
- Caresa Lynn Dodson
- Shelley L Freeman
- Vanessa Jill Hooks
- Marcella Dianne Klemas
- Lascassas Drugs LLC
- Lascassas Drugs, LLC
All providers in Lascassas, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.