Active NPI
Sally Stewart, LGSW
- Social Worker
- Charleston, WV
National Provider Identifier
1164135877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW122216452
- Practice address
- 713 Bigley Ave
Charleston, WV 25302-3356 - Phone
- (304) 895-1456
- NPI assigned
- Dec 28, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW122216452 | WV | Primary |
Addresses
Primary practice location
713 Bigley Ave
Charleston, WV 25302-3356
Mailing address
PO Box 1017
Ripley, WV 25271-4017
Phone (304) 531-7100
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 |
|---|---|---|---|
| SW122216452 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1164135877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1017",
"city": "RIPLEY",
"state": "WV",
"postal_code": "252714017",
"telephone_number": "304-531-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 BIGLEY AVE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253023356",
"telephone_number": "304-895-1456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "SALLY",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-28",
"last_updated": "2024-04-17",
"certification_date": "2023-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "SW122216452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.