MEDICARE: MARKEISHA TEEYANI STEWART CSW

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	171M00000X	Case Manager/Care Coordinator	19159	LA

General Provider Information

NPI Number	:	1588517601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARKEISHA TEEYANI STEWART CSW

Provider Business Mailing Address
First Line	:	628 LINDEN ST
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70003-4230
Country	:	US
Telephone Number	:	601-749-1131
Fax Number	:

Provider Business Practice Location Address
First Line	:	10040 I 10 SERVICE RD
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70127-2701
Country	:	US
Telephone Number	:	504-821-5220
Fax Number	:

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

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	03/12/2026

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