MEDICARE: STEPHANIE KRESS PMHNP-BC, LCSW

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	1041C0700X	Clinical Social Worker	1408-4117C	AL
2	163W00000X	Registered Nurse	257395	TN
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	32506	TN
4	1041C0700X	Clinical Social Worker	6406	TN

General Provider Information

NPI Number	:	1811410921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE KRESS PMHNP-BC, LCSW

Provider Business Mailing Address
First Line	:	377 RIVERSIDE DR STE 302
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-5393
Country	:	US
Telephone Number	:	615-438-3560
Fax Number	:	949-703-8442

Provider Business Practice Location Address
First Line	:	377 RIVERSIDE DR STE 302
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-5393
Country	:	US
Telephone Number	:	615-438-3560
Fax Number	:	949-703-8442

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

Provider Enumeration Date	:	07/20/2017
Last Update Date	:	03/02/2026

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