Active NPI
Robert Patrick Stewart, MSW
- Clinical Social Worker
- Paxton, IL
National Provider Identifier
1942364658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-002183
- Practice address
- 1510 W Ottawa Rd
Paxton, IL 60957-4090 - Phone
- (217) 379-4302
- Fax
- (217) 379-4304
- NPI assigned
- Dec 20, 2006
- 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 | 149-002183 | IL | Primary |
Addresses
Primary practice location
1510 W Ottawa Rd
Paxton, IL 60957-4090
Mailing address
1510 W Ottawa Rd
Paxton, IL 60957-4090
Phone (217) 379-4302
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 |
|---|---|---|---|
| 149-002183 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1942364658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 W OTTAWA RD",
"city": "PAXTON",
"state": "IL",
"postal_code": "609574090",
"telephone_number": "217-379-4302",
"fax_number": "217-379-4304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 W OTTAWA RD",
"city": "PAXTON",
"state": "IL",
"postal_code": "609574090",
"telephone_number": "217-379-4302",
"fax_number": "217-379-4304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "ROBERT",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-002183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paxton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.