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NPI Code Detail

MEDICARE: ELEANA STEWART LMSW

MEDICARE: ELEANA STEWART LMSW
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 Worker17343MD

General Provider Information

NPI Number : 1306510219
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELEANA STEWART LMSW
Provider Business Mailing Address
First Line : PO BOX 34
Second Line :
City : BRANDYWINE
State : MD
Zip : 20613-0034
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3261 OLD WASHINGTON RD STE 2020
Second Line :
City : WALDORF
State : MD
Zip : 20602-3231
Country : US
Telephone Number : 301-375-0548
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2021
Last Update Date : 06/02/2026

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