Alexis Kaye Stewart, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I1450825 Issued in OH

Practice address

2668 Hualapai Mountain Rd
Kingman Cboc
Kingman, AZ 86401

Phone

(928) 692-0080

NPI assigned

Dec 30, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1376931212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 KATIE LANE LOOP",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014324",
            "telephone_number": "419-340-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2668 HUALAPAI MOUNTAIN RD",
            "address_2": "KINGMAN CBOC",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86401",
            "telephone_number": "928-692-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "ALEXIS",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1450825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spirit ABA Az LLC
• Angeline M Spry
• Francis Edmond St. Laurent, PTA
• Stat Medical Supplies Inc
• Wylie C Stevens
• Mark Allen Stradling, DO
• Kerilei R Strawn, CTC - NCCA
• Taryn Strong
• Lund Leo Stucki, AUDIOPROSTHOLOGIST B
• Karen Stump

• Clinical Social Worker in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.