Healthcare Provider Details

I. General information

NPI: 1124181003
Provider Name (Legal Business Name): HEIDI KENTER STEWART MSW, LASW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 S HOWARD ST STE 321
SPOKANE WA
99201-3816
US

IV. Provider business mailing address

11217 E ALOHA CT
SPOKANE VALLEY WA
99206-2915
US

V. Phone/Fax

Practice location:
  • Phone: 509-838-4128
  • Fax: 509-838-4816
Mailing address:
  • Phone: 509-927-8315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW00008439
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: