Active NPI
Synthia Elaina Stewart, LCSW
- Clinical Social Worker
- Venus, TX
National Provider Identifier
1275144602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 59738
- Practice address
- 103 Presidents Way
Venus, TX 76084-1113 - Phone
- (817) 688-3229
- NPI assigned
- Aug 10, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L10355 | OR | |
| Clinical Social Worker | 1041C0700X | 0904010883 | VA | |
| Clinical Social Worker | 1041C0700X | 59738 | TX | Primary |
Addresses
Primary practice location
103 Presidents Way
Venus, TX 76084-1113
Mailing address
103 Presidents Way
Venus, TX 76084-1113
Phone (817) 688-3229
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 |
|---|---|---|---|
| L10355 | OR | MD | Clinical Social Worker |
| 59738 | TX | MD | Clinical Social Worker |
| 0904010883 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1275144602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 PRESIDENTS WAY",
"city": "VENUS",
"state": "TX",
"postal_code": "760841113",
"telephone_number": "817-688-3229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 PRESIDENTS WAY",
"city": "VENUS",
"state": "TX",
"postal_code": "760841113",
"telephone_number": "817-688-3229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "SYNTHIA",
"middle_name": "ELAINA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-10",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L10355",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904010883",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "59738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venus, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.