MEDICARE: SELENA 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
1	104100000X	Social Worker	7039G	AL

General Provider Information

NPI Number	:	1437005295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SELENA STEWART LMSW

Provider Business Mailing Address
First Line	:	483 HODGES ST
Second Line	:
City	:	RAINSVILLE
State	:	AL
Zip	:	35986-6715
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1951 GAULT AVE N
Second Line	:
City	:	FORT PAYNE
State	:	AL
Zip	:	35967-3417
Country	:	US
Telephone Number	:	256-273-6800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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