Active NPI
Destony Stewart, LCSW
- Clinical Social Worker
- Jamaica, NY
National Provider Identifier
1619418456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 091188
- Practice address
- 16110 Jamaica Ave
Jamaica, NY 11432-6139 - Phone
- (917) 208-7223
- NPI assigned
- Mar 13, 2017
- Sex
- Female
- 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 | 091188 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 17104 | CT | |
| Social Worker | 104100000X | 097025 | NY |
Addresses
Primary practice location
16110 Jamaica Ave
Jamaica, NY 11432-6139
Mailing address
16110 Jamaica Ave
Jamaica, NY 11432-6139
Other practice location 1
101 Centerpoint Dr Ste 216
Middletown, CT 06457-7575
Phone (888) 500-2067
Other practice location 2
100 Church St Fl 8
New York, NY 10007-2614
Phone (888) 500-2067
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097025 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1619418456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16110 JAMAICA AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114326139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16110 JAMAICA AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114326139",
"telephone_number": "917-208-7223"
}
],
"practiceLocations": [
{
"address_1": "101 Centerpoint Dr Ste 216",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "CT",
"postal_code": "064577575",
"country_code": "US",
"telephone_number": "888-500-2067",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Church St Fl 8",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100072614",
"country_code": "US",
"telephone_number": "888-500-2067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "DESTONY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-13",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "091188",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "17104",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "097025",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.