Active NPI
Kenneth B. Stewart, MSW
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1366594871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS28454
- Practice address
- 3000 Auburn Blvd
Suite a
Sacramento, CA 95821-1831 - Phone
- (916) 483-2154
- Fax
- (916) 483-2850
- NPI assigned
- Jan 17, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS28454 | CA | Primary |
| Clinical Social Worker | 1041C0700X | 137036-3501 | UT | |
| Clinical Social Worker | 1041C0700X | 6801079748 | MI |
Addresses
Primary practice location
3000 Auburn Blvd
Suite a
Sacramento, CA 95821-1831
Mailing address
3000 Auburn Blvd
Suite a
Sacramento, CA 95821-1831
Phone (916) 483-2154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2017 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS28454 | CA | MD | Clinical Social Worker |
| 6801079748 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LDS Family Services | Past | Accepting new patients | |
| Inner Peace Counseling of Utah | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sacramento, CA
- NPI 1548385560
-
- Clinical Social Worker
- Draper, UT
- NPI 1073157251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1366594871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 AUBURN BLVD",
"address_2": "SUITE A",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958211831",
"telephone_number": "916-483-2154",
"fax_number": "916-483-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 AUBURN BLVD",
"address_2": "SUITE A",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958211831",
"telephone_number": "916-483-2154",
"fax_number": "916-483-2850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "KENNETH",
"middle_name": "B.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS28454",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "137036-3501",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801079748",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.