Active NPI
Jacqueline Stewart, LMLP-T, LMSW
- Psychologist
- Wichita, KS
National Provider Identifier
1104645589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 03557-T
- Practice address
- 300 W Douglas Ave Ste 610
Wichita, KS 67202-2917 - Phone
- (316) 945-6042
- NPI assigned
- Oct 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 03557-T | KS | Primary |
Addresses
Primary practice location
300 W Douglas Ave Ste 610
Wichita, KS 67202-2917
Mailing address
1224 Lazy Creek CT
Newton, KS 67114-8907
Phone (316) 737-7435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10426 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1104645589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 LAZY CREEK CT",
"city": "NEWTON",
"state": "KS",
"postal_code": "671148907",
"telephone_number": "316-737-7435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W DOUGLAS AVE STE 610",
"city": "WICHITA",
"state": "KS",
"postal_code": "672022917",
"telephone_number": "316-945-6042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JACQUELINE",
"credential": "LMLP-T, LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-03",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "03557-T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.