Active NPI
Camisha V Stewart, LCSW
- Social Worker
- Newark, NJ
National Provider Identifier
1144940982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 829 S 12TH St
Newark, NJ 07108-1307 - Phone
- (562) 440-3183
- NPI assigned
- Aug 31, 2022
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 44SL05430900 | NJ | |
| Counselor | 101Y00000X | CW022416 | PA | |
| Mental Health Counselor | 101YM0800X | 44SL05430900 | NJ | |
| Mental Health Counselor | 101YM0800X | CW022416 | PA | |
| Clinical Social Worker | 1041C0700X | 44SL05430900 | NJ | |
| Social Worker | 104100000X | NJ | Primary |
Addresses
Primary practice location
829 S 12TH St
Newark, NJ 07108-1307
Mailing address
725 David Dr
Pen Argyl, PA 18072-9515
Phone (562) 440-3183
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
| License | State | Type | Specialty |
|---|---|---|---|
| CW022416 | PA | MD | Counselor |
| 44SL05430900 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1144940982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 DAVID DR",
"city": "PEN ARGYL",
"state": "PA",
"postal_code": "180729515",
"telephone_number": "562-440-3183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 S 12TH ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071081307",
"telephone_number": "562-440-3183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "CAMISHA",
"middle_name": "V",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "44SL05430900",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "CW022416",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "44SL05430900",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "CW022416",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SL05430900",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.