MEDICARE: ALLYSIA MONATE STEWARD LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041S0200X	School Social Worker	12960-C	NV
2	1041C0700X	Clinical Social Worker	12960-C	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215285234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSIA MONATE STEWARD LCSW

Provider Business Mailing Address
First Line	:	10662 DAWNS MIST AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-5056
Country	:	US
Telephone Number	:	702-758-0344
Fax Number	:

Provider Business Practice Location Address
First Line	:	3925 MARTIN LUTHER KING BLVD SUITE 212
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129
Country	:	US
Telephone Number	:	702-444-0235
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2012
Last Update Date	:	04/09/2026

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