MEDICARE: STACI LYNN LJEPAVA MSW, PPSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041S0200X	School Social Worker	210038810	CA

General Provider Information

NPI Number	:	1255109260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACI LYNN LJEPAVA MSW, PPSC

Provider Business Mailing Address
First Line	:	24569 HUTCHINSON RD
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95033-8554
Country	:	US
Telephone Number	:	408-513-4917
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 N 2ND ST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95112-6317
Country	:	US
Telephone Number	:	408-535-6267
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2023
Last Update Date	:	12/19/2023

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1134577927 — BILL WILSON CENTER
Practice Location Address:

850 N 2ND ST
SAN JOSE, CA
95112-6317

Practice Phone: 408-278-2531
Practice Fax: 408-278-2531

1568253847 — GARDNER FAMILY HEALTH NETWORK INC
Practice Location Address:

850 N 2ND ST
SAN JOSE, CA
95112-6317

Practice Phone: 408-938-2113
Practice Fax:

1043037385 — EVELYN CAROLINA LOPEZ PEREZ
Practice Location Address:

2600 CORDE TERRA CIR APT 6317
SAN JOSE, CA
95111-1950

Practice Phone: 669-287-4113
Practice Fax:

1578524815 — DAVITA RIVERSIDE LLC
Practice Location Address:

1181 N STATE ST
SAN JACINTO, CA
92583-6317

Practice Phone: 951-487-6528
Practice Fax: 951-487-8518

1922377969 — CHRISTOPHER YU
Practice Location Address:

1181 N STATE ST
SAN JACINTO, CA
92583-6317

Practice Phone: 951-487-3810
Practice Fax:

Directions to “ STACI LYNN LJEPAVA MSW, PPSC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.