Individual provider Active NPI

Lakisha J Stewart, LSW

  • Social Worker
  • Union, NJ
National Provider Identifier
1144875485
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06383000 Issued in NJ
Practice address
1820 Manor Dr Apt B
Union, NJ 07083-4612
Phone
(518) 505-4227
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06383000 NJ Primary

Addresses

Primary practice location

1820 Manor Dr Apt B
Union, NJ 07083-4612

Mailing address

1820 Manor Dr Apt B
Union, NJ 07083-4612
Phone (518) 505-4227

Other practice location 1

151 Knollcroft Rd Bldg 53
Lyons, NJ 07939-5001
Phone (908) 647-0180 ext. 4080

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

State licenses

LicenseStateTypeSpecialty
44SL06383000NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1144875485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 MANOR DR APT B",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834612",
            "telephone_number": "518-505-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MANOR DR APT B",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834612",
            "telephone_number": "518-505-4227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Knollcroft Rd Bldg 53",
            "address_purpose": "LOCATION",
            "city": "Lyons",
            "state": "NJ",
            "postal_code": "079395001",
            "country_code": "US",
            "telephone_number": "908-647-0180 x4080",
            "fax_number": "908-604-5836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "LAKISHA",
        "middle_name": "J",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06383000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.