Individual provider Active NPI

Lisa J Stewart, LCSW

  • Clinical Social Worker
  • Pineville, NC
National Provider Identifier
1558923086
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014655 Issued in NC
Practice address
11940 Carolina Place Pkwy Ste 201
Pineville, NC 28134-7471
Phone
(877) 876-3783
Fax
(855) 420-6402
NPI assigned
Jul 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PO12339 NC
Clinical Social Worker 1041C0700X C014655 NC Primary

Addresses

Primary practice location

11940 Carolina Place Pkwy Ste 201
Pineville, NC 28134-7471

Mailing address

13000 S Tryon St Ste F-369
Charlotte, NC 28278-7652
Phone (980) 292-0708

Other practice location 1

13000 S Tryon St Ste F-369
Charlotte, NC 28278-7652
Phone (980) 292-0708

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C014655NCMDClinical Social Worker
PO12339NCMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: lisa.stewart.p1@direct.ncfmc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1562198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1558923086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 S TRYON ST STE F-369",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787652",
            "telephone_number": "980-292-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 CAROLINA PLACE PKWY STE 201",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281347471",
            "telephone_number": "877-876-3783",
            "fax_number": "855-420-6402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13000 S Tryon St Ste F-369",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282787652",
            "country_code": "US",
            "telephone_number": "980-292-0708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "LISA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-04",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "PO12339",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.