Active NPI
Simone Stewart
- Social Worker
- Highland, NY
National Provider Identifier
1962958694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 092860-1
- Practice address
- 115 Vineyard Avenue
Highland, NY 12528 - Phone
- (845) 418-7589
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 092860-1 | NY | Primary |
Addresses
Primary practice location
115 Vineyard Avenue
Highland, NY 12528
Mailing address
19 Washington Avenue
Highland, NY 12528
Phone (845) 418-7589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220128000821 | NY | Practitioner - Clinical Social Worker | 9830581602 | Practice locations: Highland, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092860-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642291200000",
"number": "1962958694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 WASHINGTON AVENUE",
"city": "HIGHLAND",
"state": "NY",
"postal_code": "12528",
"telephone_number": "845-418-7589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 VINEYARD AVENUE",
"city": "HIGHLAND",
"state": "NY",
"postal_code": "12528",
"telephone_number": "845-418-7589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "SIMONE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2022-01-16",
"certification_date": "2022-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "092860-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.