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NPI Code Detail

MEDICARE: MS. ERIN STEWART LCSW

MEDICARE: MS. ERIN STEWART 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
11041C0700XClinical Social Worker34005131AIN
21041C0700XClinical Social WorkerIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
292465OTHERILBLUE CROSS IOWA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780677542
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERIN STEWART LCSW
Provider Business Mailing Address
First Line : 601 WALL ST
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-2512
Country : US
Telephone Number : 219-531-3500
Fax Number :
Provider Business Practice Location Address
First Line : 601 WALL ST
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-2512
Country : US
Telephone Number : 219-531-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2005
Last Update Date : 07/16/2007

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Directions to “ MS. ERIN STEWART LCSW” Practice Location

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