Kelley Shae Stewart, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801103638 Issued in MI

Practice address

3872 Clearview St NE
Grand Rapids, MI 49546-1386

Phone

(616) 446-0050

NPI assigned

Oct 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1154101715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3872 CLEARVIEW ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495461386",
            "telephone_number": "616-446-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3872 CLEARVIEW ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495461386",
            "telephone_number": "616-446-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KELLEY",
        "middle_name": "SHAE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801103638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Marie Stewart, D.O.
• Doraliz Stewart, MD
• Isabella Katherine Stewart
• Janae Marie Stewart, AT, ATC, CSCS
• Kaluna Stewart
• Kendra E Stewart, R.PH.
• Michael Joseph Stewart, DO
• Robert Stewart, LMSW, CAADC
• Samantha Diane Stewart, PA
• Tyler Nelson Stewart, MD

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.