Individual provider Active NPI

Allen D. Stewart, LCSW

  • Clinical Social Worker
  • Stafford, VA
National Provider Identifier
1649478470
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006596 Issued in VA
Practice address
15 Hope Rd
Stafford, VA 22554-7202
Phone
(540) 659-2725
Fax
(540) 659-0736
NPI assigned
Jul 3, 2007
Last updated
Apr 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904006596 VA Primary

Addresses

Primary practice location

15 Hope Rd
Stafford, VA 22554-7202

Mailing address

600 Jackson St
Fredericksburg, VA 22401-5719
Phone (540) 373-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090505000403 VA Practitioner - Clinical Social Worker 2264580059
I20240208001030 UT Practitioner - Clinical Social Worker 2264580059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 373-4760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904006596VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wasatch Behavioral Health Special Service District CurrentSince Jan 24, 2024 Accepting new patients
Wasatch Behavioral Health Special Service District CurrentSince Jan 24, 2024 Accepting new patients
Rappahannock Area Community Services Board PastSince Dec 5, 2021 Accepting new patients

Locations

1165 E 300 N
Provo, UT 84606
Phone (801) 319-1142

750 N Freedom Blvd
Provo, UT 84601
Phone (801) 373-0639

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1649478470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JACKSON ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015719",
            "telephone_number": "540-373-3223",
            "fax_number": "540-371-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HOPE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547202",
            "telephone_number": "540-659-2725",
            "fax_number": "540-659-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "ALLEN",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.