Active NPI
Jayson Stewart, BA, MSW
- Social Worker
- Altus Afb, OK
National Provider Identifier
1275977464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12499157-3502
- Practice address
- 301 N 1St St BLDG 46
Altus Afb, OK 73523-5004 - Phone
- (580) 481-5376
- NPI assigned
- Apr 18, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12499157-3502 | UT | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
301 N 1St St BLDG 46
Altus Afb, OK 73523-5004
Mailing address
301 N. First St
Altus Afb, OK 73523
Other practice location 1
1650 SW 45th Pl
Corvallis, OR 97333-1768
Phone (541) 757-8068
Other practice location 2
101 Bodin Cir Bldg 777
Travis AFB, CA 94535-1809
Phone (707) 423-2388
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12499157-3502 | UT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Mill Center for Children and Families | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Corvallis, OR
- NPI 1285719195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1275977464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N. FIRST ST",
"city": "ALTUS AFB",
"state": "OK",
"postal_code": "73523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N 1ST ST BLDG 46",
"city": "ALTUS AFB",
"state": "OK",
"postal_code": "735235004",
"telephone_number": "580-481-5376"
}
],
"practiceLocations": [
{
"address_1": "1650 SW 45th Pl",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973331768",
"country_code": "US",
"telephone_number": "541-757-8068",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Bodin Cir Bldg 777",
"address_purpose": "LOCATION",
"city": "Travis AFB",
"state": "CA",
"postal_code": "945351809",
"country_code": "US",
"telephone_number": "707-423-2388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "JAYSON",
"credential": "BA, MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-18",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "12499157-3502",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altus Afb, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.