Lisa Melanie Stewart

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000004108 Issued in TN

Practice address

721 Saint Andrews Rd
Brandenburg, KY 40108-7163

Phone

(270) 998-1057

NPI assigned

Oct 19, 2010

Last updated

Oct 19, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lisa Melanie Favors Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1033429592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 SAINT ANDREWS RD",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401087163",
            "telephone_number": "270-998-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 SAINT ANDREWS RD",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401087163",
            "telephone_number": "270-998-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "LISA",
        "middle_name": "MELANIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000004108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "FAVORS",
            "middle_name": "MELANIE",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Soudom, APRN
• Cristin A Stapler, DPT
• Megan Suzanne Staples, PHARMD
• Sharron K Stegner, APRN
• Steps of Success
• Iris R Stull, MS PT
• Carl W. Sydnor, O.D.
• Kathleen Nicole Terry, PTA
• The Safe Place, LLC.
• Montina Marie Thomas

• Clinical Social Worker in Brandenburg, KY
• Providers in Brandenburg, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.