STEPHANIE S TEJEDA (NPI# 1811456841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811456841 |
| Entity Type | Individual |
| Full Name | STEPHANIE S TEJEDA |
| Practice Address |
403 Stony Landing Rd Moncks Corner SC 29461-3967 |
| Practice Telephone | 8437618282 |
| Practice Fax Number | 8437617308 |
| Mailing Telephone | 8437618282 |
| Mailing Fax Number | 8437617308 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 435201 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645740 | Stephanie Tejeda | Social Worker | 99 Veterans Way, Johnson City, TN 37604-5470 | 2020-09-29 |
| 1720590391 | Stephanie Marie Tejeda | Licensed Practical Nurse | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2017-11-03 |
| Street Address |
403 STONY LANDING RD |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461-3967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548230220 | Elizabeth Ann Holloway Jensen | Nurse Practitioner | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2006-01-25 |
| 1891301313 | Jennifer Lane Gillespie | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-09-21 |
| 1982210415 | Kelvin Craig Tyler Jr. | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-09-21 |
| 1376159897 | Stephanie Davis-velez | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-09-21 |
| 1720699614 | Amy Lynn Watson | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-08-13 |
| 1417588484 | Sarah L Oxendine | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-01-29 |
| 1679104640 | Kayla B Bennett | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-01-29 |
| 1194356162 | Monique D Stanley | Registered Nurse | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-01-29 |
| 1780221036 | Lydia Stallings | Case Manager/Care Coordinator | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-12-05 |
| 1518501253 | Sarah A Younts | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710546676 | Heather M Wilhelm | Counselor | 1143 Moss Grove Dr, Moncks Corner, SC 29461-7455 | 2019-06-13 |
| 1407235765 | Saundra D. Harvey | Counselor | 403 Stony Landing Road, Moncks Corner, SC 29461-3967 | 2015-05-20 |
| 1043591613 | Andrea K Cotone | Counselor | 403 Stoney Landing Rd., Moncks Corner, SC 29461-3967 | 2011-09-08 |
| 1841204674 | Donna Lynn Poole | Counselor | 403 Stoney Landing Road, Moncks Corner, SC 29461-3967 | 2006-07-28 |
| 1255948873 | Satura Long | Counselor | 402 S Live Oak Dr, Moncks Corner, SC 29461-3550 | 2020-09-28 |
| 1982210415 | Kelvin Craig Tyler Jr. | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-09-21 |
| 1255979381 | Adam Gordon Sachs | Counselor | 402 S Live Oak Dr, Moncks Corner, SC 29461-3550 | 2019-12-19 |
| 1518501253 | Sarah A Younts | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-11-06 |
| 1164066817 | Rachael D Danforth | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-11-05 |
| 1790336949 | Melissa A Oconnor | Counselor | 403 Stoney Landing Rd., Moncks Corner, SC 29461-3967 | 2019-09-27 |
| Find all providers in MONCKS CORNER | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
Please comment or provide details below to improve the information on STEPHANIE S TEJEDA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.