Active NPI
Angela Clifton-Stewart, LPC, PHD
- Clinical Psychologist
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3679
- Practice address
- 110 29TH Ave N
Nashville, TN 37203-1401 - Phone
- (615) 822-8679
- NPI assigned
- Apr 17, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC004598 | GA | |
| Clinical Psychologist | 103TC0700X | 3679 | TN | Primary |
Addresses
Primary practice location
110 29TH Ave N
Nashville, TN 37203-1401
Mailing address
PO Box 952
Conley, GA 30288-0952
Phone (770) 595-2202
Other practice location 1
160 Clairemont Ave Ste 200
Decatur, GA 30030-2546
Phone (404) 791-2004
Other practice location 2
200 W Martin Luther King Blvd Ste 1000
Chattanooga, TN 37402-2571
Phone (404) 791-2004
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3679 | Other | TN | LICENSED PSYCHOLOGIST |
| 863215023B | Medicaid | GA | |
| Q070574 | Medicaid | TN |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC004598 | GA | MD | Professional Counselor |
| 3679 | TN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angela C. Stewart, LPC, P.C. | Professional | Current | Accepting new patients |
| Assertive Community Recovery, LLC | Past | Accepting new patients |
Locations
2308 Perimeter Park Dr
Ste 100
Atlanta, GA 30341
Phone (770) 457-5577
160 Clairemont Ave
Ste 200
Decatur, GA 30030
Phone (678) 324-0264
200 W Martin Luther King Blvd
Ste 1000
Chattanooga, TN 37402
Phone (423) 269-2255
Organizations & group practices 2
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.
-
- Professional Counselor
- Decatur, GA
- NPI 1245711456
-
- Community/Behavioral Health Agency
- Decatur, GA
- NPI 1265607683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1134344641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 952",
"city": "CONLEY",
"state": "GA",
"postal_code": "302880952",
"telephone_number": "770-595-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 29TH AVE N",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031401",
"telephone_number": "615-822-8679"
}
],
"practiceLocations": [
{
"address_1": "160 Clairemont Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300302546",
"country_code": "US",
"telephone_number": "404-791-2004",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 W Martin Luther King Blvd Ste 1000",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374022571",
"country_code": "US",
"telephone_number": "404-791-2004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLIFTON-STEWART",
"first_name": "ANGELA",
"name_prefix": "Dr.",
"credential": "LPC, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC004598",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "3679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PSYCHOLOGIST",
"identifier": "3679",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "863215023B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q070574",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.