Active NPI
Maryanne Frances Stewart, MSW
- Social Worker
- Hillsboro, OR
National Provider Identifier
1053748640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- L5418
- Practice address
- 18650 NW Cornell Rd
Suite 315
Hillsboro, OR 97124-9207 - Phone
- (503) 352-0468
- Fax
- (503) 352-1024
- NPI assigned
- Sep 27, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | L5418 | OR | Primary |
Addresses
Primary practice location
18650 NW Cornell Rd
Suite 315
Hillsboro, OR 97124-9207
Mailing address
18650 NW Cornell Rd
Suite 315
Hillsboro, OR 97124-9207
Phone (503) 352-0468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2015 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L5418 | OR | MD | Social Worker |
| 1637 | KS | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Matters PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Beaverton, OR
- NPI 1285839019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1053748640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18650 NW CORNELL RD",
"address_2": "SUITE 315",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971249207",
"telephone_number": "503-352-0468",
"fax_number": "503-352-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18650 NW CORNELL RD",
"address_2": "SUITE 315",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971249207",
"telephone_number": "503-352-0468",
"fax_number": "503-352-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "MARYANNE",
"middle_name": "FRANCES",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-27",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "L5418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.