Phyllis K. Stewart, Licensed Clinical Social Worker

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS05270 Issued in CA

Legal business name

PHYLLIS K. STEWART, LICENSED CLINICAL SOCIAL WORKER

Practice address

15300 Ventura Blvd
Suite 525
Sherman Oaks, CA 91403-3103

Phone

(818) 789-7728

Fax

(323) 466-0547

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Phyllis K Stewart, LCSW

Title

President

Phone

(818) 789-7728

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1184837536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 VENTURA BLVD",
            "address_2": "SUITE 525",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033103",
            "telephone_number": "818-789-7728",
            "fax_number": "323-466-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 VENTURA BLVD",
            "address_2": "SUITE 525",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033103",
            "telephone_number": "818-789-7728",
            "fax_number": "323-466-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS K. STEWART, LICENSED CLINICAL SOCIAL WORKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-789-7728",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS05270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.