Kristen Marie Stewart, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801092055 Issued in MI

Practice address

13590 Chester CT
Belleville, MI 48111-2494

Phone

(734) 560-4981

NPI assigned

Apr 15, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Breaking Dawn Therapy PLLC

  • Clinical Social Worker
  • Belleville, MI
  • NPI 1588268890
  NPD Authorized official

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1730708199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13590 CHESTER CT",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13590 CHESTER CT",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112494",
            "telephone_number": "734-560-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Smith-Douglas, RN, BS, MA
• Marlon David Smith
• Sound Hearing Inc
• Kanika Lenise Spears, LMSW
• Stable Today Inspirational Counseling and Literature Agency S
• Terrah Ranae Stewart, LPN
• Strategic Transtitions Consulting
• Christopher Suchyta
• Lisa Renee Sullivan, PA-C
• Sumpter Community Clinic

• Clinical Social Worker in Belleville, MI
• Providers in Belleville, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.