Active NPI
Bret Hansen Stewart, MSW, LCSW, PCSW
- Clinical Social Worker
- Sheridan, WY
National Provider Identifier
1265458079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 554
- Practice address
- 1898 Fort Rd
Sheridan, WY 82801-8320 - Phone
- (307) 672-3473
- Fax
- (307) 672-3911
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 01099152 | SD | |
| Social Worker | 104100000X | 252 | WY | |
| Clinical Social Worker | 1041C0700X | 554 | WY | Primary |
Addresses
Primary practice location
1898 Fort Rd
Sheridan, WY 82801-8320
Mailing address
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone (702) 971-0354
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 |
|---|---|---|---|
| 01099152 | SD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1265458079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 N PECOS RD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890864400",
"telephone_number": "702-971-0354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1898 FORT RD",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828018320",
"telephone_number": "307-672-3473",
"fax_number": "307-672-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "BRET",
"middle_name": "HANSEN",
"name_prefix": "Mr.",
"credential": "MSW, LCSW, PCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SD",
"license": "01099152",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WY",
"license": "252",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.