Active NPI
Randall H Stewart, LCSW
- Clinical Social Worker
- Huntsville, AL
National Provider Identifier
1942352505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0837-2086C
- Practice address
- 4040 Memorial Pkwy SW
Mental Health Center of Madison County
Huntsville, AL 35802-4364 - Phone
- (256) 417-9050
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0837-2086C | AL | Primary |
Addresses
Primary practice location
4040 Memorial Pkwy SW
Mental Health Center of Madison County
Huntsville, AL 35802-4364
Mailing address
1304 Butter and Egg Rd
Hazel Green, AL 35750-8315
Phone (256) 417-9050
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-46879 | Other | AL | BCBS |
| 11736560 | Other | CAQH | |
| 2531480 | Other | CIGNA | |
| 515-48238 | Other | FEDERAL BCBS |
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 |
|---|---|---|---|
| 0837-2086C | AL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buerger Consulting 512, PLLC | Past | Accepting new patients | |
| Associates for Behavioral Health Care PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Associates for Behavioral Health
- Psychologist
- Austin, TX
- NPI 1104991793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1942352505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 BUTTER AND EGG RD",
"city": "HAZEL GREEN",
"state": "AL",
"postal_code": "357508315",
"telephone_number": "256-417-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 MEMORIAL PKWY SW",
"address_2": "MENTAL HEALTH CENTER OF MADISON COUNTY",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358024364",
"telephone_number": "256-417-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "RANDALL",
"middle_name": "H",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "0837-2086C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "515-46879",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11736560",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2531480",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BCBS",
"identifier": "515-48238",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.