Healthcare Provider Details

I. General information

NPI: 1972546885
Provider Name (Legal Business Name): REED M STEWART II MSW, LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 01/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1808 S PENNSYLVANIA AVE SUITE C
LANSING MI
48910-1897
US

IV. Provider business mailing address

1808 S PENNSYLVANIA AVE SUITE C
LANSING MI
48910-1897
US

V. Phone/Fax

Practice location:
  • Phone: 517-677-6453
  • Fax: 517-367-0681
Mailing address:
  • Phone: 517-677-6453
  • Fax: 517-367-0681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801083669
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: