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NPI Code Detail

MEDICARE: CAROL ANN RUPEKA MSW

MEDICARE: CAROL ANN RUPEKA MSW
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
1101Y00000XCounselorLPC384450TN
2101YA0400XAddiction (Substance Use Disorder) CounselorLADAC3844509TN

General Provider Information

NPI Number : 1437136421
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL ANN RUPEKA MSW
Provider Business Mailing Address
First Line : 343 ASHWORTH TRL
Second Line :
City : POWELL
State : TN
Zip : 37849-3065
Country : US
Telephone Number : 865-384-7378
Fax Number :
Provider Business Practice Location Address
First Line : 3105 ESSARY RD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37918-2409
Country : US
Telephone Number : 865-384-7378
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 09/11/2025

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