Active NPI
Laurel Stewart, MSW
- Clinical Social Worker
- Windsor, CT
National Provider Identifier
1669407094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 000546
- Practice address
- 34 Maple Ave
Windsor, CT 06095-2922 - Phone
- (860) 683-2823
- Fax
- (413) 567-8724
- NPI assigned
- Jul 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW 000546 | CT | Primary |
| Clinical Social Worker | 1041C0700X | LICSW 101603 | MA |
Addresses
Primary practice location
34 Maple Ave
Windsor, CT 06095-2922
Mailing address
34 Maple Ave
Windsor, CT 06095-2922
Phone (860) 683-2823
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 000546 | CT | MD | Clinical Social Worker |
| LICSW 101603 | MA | MD | Clinical Social Worker |
| 000546 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669407094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 MAPLE AVE",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060952922",
"telephone_number": "860-683-2823",
"fax_number": "413-567-8724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 MAPLE AVE",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060952922",
"telephone_number": "860-683-2823",
"fax_number": "413-567-8724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "LAUREL",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "LCSW 000546",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW 101603",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.