Healthcare Provider Details

I. General information

NPI: 1700993649
Provider Name (Legal Business Name): KAREN BARBER STEWART LCSW, CAP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN BARBER STEWART LCSW, CAP

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 02/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 GOLFVIEW AVE
BARTOW FL
33830-6736
US

IV. Provider business mailing address

PO BOX 1559
BARTOW FL
33831-1559
US

V. Phone/Fax

Practice location:
  • Phone: 863-519-0575
  • Fax: 863-582-9251
Mailing address:
  • Phone: 863-519-0575
  • Fax: 863-582-9251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW8650
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number4261
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: