Individual provider Active NPI

Nancy G. Stewart, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1891706685
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5350 Issued in TN
Practice address
7119 Afton Dr
Birch Tree Plaza, Suite 202
Knoxville, TN 37918-5701
Phone
(856) 607-2166
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0000141 DE
Clinical Social Worker 1041C0700X 13466 MD
Clinical Social Worker 1041C0700X 5350 TN Primary

Addresses

Primary practice location

7119 Afton Dr
Birch Tree Plaza, Suite 202
Knoxville, TN 37918-5701

Mailing address

7119 Afton Dr
Birch Tree Plaza, Suite 202
Knoxville, TN 37918-5701
Phone (856) 607-2166

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
Q1-0000141DEMDClinical Social Worker
13466MDMDClinical Social Worker
5350TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Soul of Serenity Center Past Accepting new patients
Helen Ross McNabb Center Past Accepting new patients
Alternative Counseling Center Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1891706685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 AFTON DR",
            "address_2": "BIRCH TREE PLAZA, SUITE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185701",
            "telephone_number": "856-607-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 AFTON DR",
            "address_2": "BIRCH TREE PLAZA, SUITE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185701",
            "telephone_number": "856-607-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "NANCY",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000141",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13466",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.