Renee Stewart

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19481 Issued in MD

Practice address

14727 4TH St
Laurel, MD 20707-3988

Phone

(240) 816-3652

NPI assigned

Feb 23, 2022

Reactivated

Jul 28, 2022

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

Electronic endpoints 1

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.

• Two Roads Therapy & Consultation, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laurel, MD
  • NPI 1326777368
  NPD Authorized official

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1922754472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14727 4TH ST UNIT 149",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14727 4TH ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073988",
            "telephone_number": "240-816-3652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14727 4th St Unit 147",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207073988",
            "country_code": "US",
            "telephone_number": "240-396-7069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-05",
        "deactivation_date": "2022-05-05",
        "reactivation_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "14727 4th St Unit 147",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207073988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deja Stephenson, SLP
• Sterling Optical
• Kevin Andrew Sterling, L.AC.
• Adonnis Jamaal Stewart
• Chelsea Stewart
• Kamesha Stokes
• Mojisola Stokes
• Joshua Stoll, LGPC
• Dawb M. Stoner
• Ara Storlie

• Clinical Social Worker in Laurel, MD
• Providers in Laurel, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.