Active NPI
Sarah Stewart, LICSW
- Clinical Social Worker
- Brockton, MA
National Provider Identifier
1205223963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 118953
- Practice address
- 15 Bolton PL
YMCA Mental Health Clinic
Brockton, MA 02301-5316 - Phone
- (508) 587-1896
- NPI assigned
- Apr 21, 2015
- Last updated
- May 7, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 118953 | MA | Primary |
Addresses
Primary practice location
15 Bolton PL
YMCA Mental Health Clinic
Brockton, MA 02301-5316
Mailing address
15 Bolton PL
YMCA Mental Health Clinic
Brockton, MA 02301-5316
Phone (508) 583-2155
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 |
|---|---|---|---|
| 118953 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1205223963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BOLTON PL",
"address_2": "YMCA MENTAL HEALTH CLINIC",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015316",
"telephone_number": "508-583-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 BOLTON PL",
"address_2": "YMCA MENTAL HEALTH CLINIC",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015316",
"telephone_number": "508-587-1896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "SARAH",
"name_prefix": "Miss",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-21",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "118953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
- Steward Pet Imaging, L.L.C. (Steward PET Imaging, LLC at Good Samaritan Medical Center)
- Catherine Monica Stewart, LICSW
- Daniel Robert Stewart, MA
- Erin Marie Stewart
- James Thomas Stewart III
- Shawn Cullen Stewart
- Michelle Diane Stewmon, FNP-BC
- Charis Lynn Stone-Racer, MSW
- Andrew Douglas Stone, M.D.
- Julie M. Stone, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.