STEWARD MEDICAL GROUP, INC. (NPI# 1548701857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548701857 |
| Entity Type | Organization |
| Organization Name | STEWARD MEDICAL GROUP, INC. |
| Practice Address |
77 Warren St Brighton MA 02135-3601 |
| Practice Telephone | 6175625359 |
| Mailing Telephone | 6175625359 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Authorized Official Name | ASHLEY KOCH (CFO) |
| Authorized Official Telephone | 6175625359 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104367630 | Steward Medical Group, Inc. | Family Medicine | 1317 W Point Dr, Cocoa, FL 32922-6464 | 2017-03-16 |
| 1073826111 | Steward Medical Group, Inc. | Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2010-07-19 |
| 1982917027 | Steward Medical Group, Inc. | Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2010-07-19 |
| 1437462587 | Steward Medical Group, Inc. | Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2010-07-19 |
| 1801109947 | Steward Medical Group, Inc. | Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2010-07-19 |
| 1265745301 | Steward Medical Group, Inc. | Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2010-07-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | STEWARD MEDICAL GROUP, INC. | 28 Liberty St., New York, Ny 10005 |
| Massachusetts Corporations | STEWARD MEDICAL GROUP, INC. | 500 Boylston St., Boston, MA 02116 |
| Street Address |
77 WARREN ST |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131194 | Roger F Cohen | Clinical Neuropsychologist | 77 Warren St, Suite 453, Brighton, MA 02135-3601 | 2005-08-11 |
| 1699383489 | Rhianna Candido | Registered Nurse | 77 Warren St, Brighton, MA 02135-3601 | 2020-07-17 |
| 1770101586 | Jennie Vaughan Hollyday | Peer Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2020-07-08 |
| 1922620863 | Jonathan Kolodziej | Social Worker | 77 Warren St, Brighton, MA 02135-3601 | 2020-05-14 |
| 1114401098 | Hayley Youngstrom | Social Worker | 77 Warren St, Brighton, MA 02135-3601 | 2018-09-18 |
| 1548744436 | Kelsey Elizabeth Connolly | Social Worker | 77 Warren St, Brighton, MA 02135-3601 | 2018-09-18 |
| 1629551585 | Caitlyn Burns | Counselor | 77 Warren St, Brighton, MA 02135-3601 | 2018-09-07 |
| 1790294981 | Evan Moran Queenan | Counselor | 77 Warren St, Brighton, MA 02135 | 2017-09-20 |
| 1609395615 | Hannah Goehner | Student in an Organized Health Care Education/Training Program | 77 Warren St, Brighton, MA 02135-3601 | 2017-09-12 |
| 1669990727 | Yasmin A Santos | Registered Nurse | 77 Warren St, Brighton, MA 02135 | 2017-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625456 | Kaleb Oakleaf | Social Worker | 19 Melvin Ave Apt 14, Brighton, MA 02135-7441 | 2020-09-29 |
| 1679108401 | Megan Veldhuizen | Social Worker | 4269 Windmill Dr, Brighton, CO 80601-4544 | 2020-03-12 |
| 1164070165 | Regina Levkovich | Social Worker | Spaulding Nursing and Therapy Center-brighton, 100 North Beacon Street, Brighton, MA 02134 | 2019-09-03 |
| 1457912149 | Amandala Mcwright | Social Worker | 60 Glenmont Rd, Brighton, MA 02135-3199 | 2019-06-24 |
| 1528532819 | Kali Geddes | Social Worker | 62 S Waverly St, Brighton, MA 02135-1434 | 2019-01-20 |
| 1649740069 | Jo-ann Barbour | Social Worker | 123 Antwerp St, Brighton, MA 02135-1340 | 2018-11-28 |
| 1316414477 | Sue Ann Daniel | Social Worker | 8273 Grand River Rd Ste 110, Brighton, MI 48114-9346 | 2018-10-26 |
| 1366927303 | Erica Sigal | Social Worker | 2045 Commonwealth Ave Apt 27, Brighton, MA 02135-5154 | 2018-09-26 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1730696097 | Sheryl Gwen Eilberg | Social Worker | 1738 Commonwealth Ave Apt 5, Brighton, MA 02135-5617 | 2018-01-08 |
| Find all providers in BRIGHTON | ||||
Please comment or provide details below to improve the information on STEWARD MEDICAL GROUP, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.