Individual provider Active NPI

Dragana Stijepovic, LCSW

  • Clinical Social Worker
  • South Gate, CA
National Provider Identifier
1811579378
Registry record updated Apr 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
101066 Issued in CA
Practice address
8179 California Ave Apt 1
South Gate, CA 90280-2471
Phone
(562) 445-1544
NPI assigned
Apr 24, 2021
Last updated
Apr 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 101066 CA Primary

Addresses

Primary practice location

8179 California Ave Apt 1
South Gate, CA 90280-2471

Mailing address

8179 California Ave Apt 1
South Gate, CA 90280-2471
Phone (562) 445-1544

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL DraganasLair@aol.com Direct
CONNECT URL DraganasLair@aol.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210915003874 CA Practitioner - Clinical Social Worker 3375949514 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Clinical CurrentSince Jul 18, 2024 Accepting new patients
Cyti Health PC CurrentSince Nov 25, 2024 Accepting new patients

Locations

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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": "1619222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619222400000",
    "number": "1811579378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8179 CALIFORNIA AVE APT 1",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802471",
            "telephone_number": "562-445-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8179 CALIFORNIA AVE APT 1",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802471",
            "telephone_number": "562-445-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIJEPOVIC",
        "first_name": "DRAGANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-24",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DraganasLair@aol.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8179 California Ave Apt 1",
            "city": "South Gate",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902802471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DraganasLair@aol.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8179 California Ave Apt 1",
            "city": "South Gate",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902802471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

Verify at the official NPI Registry.