Deidra Shante Stewart, LCSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW.9621 CP Issued in SC

Practice address

112B Bolt Dr
Laurens, SC 29360-1900

Phone

(864) 681-3798

NPI assigned

Dec 1, 2009

Last updated

Mar 28, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope Unlimited Counseling and Consulting, LLC

  • Clinical Social Worker
  • Laurens, SC
  • NPI 1255674941
  NPD Authorized official

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1497083521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1543",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293601543",
            "telephone_number": "864-681-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112B BOLT DR",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293601900",
            "telephone_number": "864-681-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "DEIDRA",
        "middle_name": "SHANTE",
        "credential": "LCSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-01",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "SW.9621 CP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1041",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• State of South Carolina (SC Dhec)
• Jordan Steen, PHARMD
• Dillard W Stephens, DO
• Louis M Stephens, MD
• Stepping Forward LLC
• Kelly Christine Stingel
• Tangie Tameco Stoddard-Choice, PTA
• Mary F Stoehr, MS,CCC-SLP
• Amy Ledford Strickland, APRN, FNP-C
• Candace L Strickland, PHARMD

• Clinical Social Worker in Laurens, SC
• Providers in Laurens, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.