MEDICARE: EMILIE STEWART

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	SW124603	PA

General Provider Information

NPI Number	:	1528334679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILIE STEWART

Provider Business Mailing Address
First Line	:	220 BRIAR PATH STE 295
Second Line	:
City	:	IMPERIAL
State	:	PA
Zip	:	15126-9686
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 BRIAR PATH
Second Line	:
City	:	IMPERIAL
State	:	PA
Zip	:	15126-9686
Country	:	US
Telephone Number	:	412-292-9122
Fax Number	:

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

Provider Enumeration Date	:	03/22/2012
Last Update Date	:	03/03/2026

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Directions to “ EMILIE STEWART ” Practice Location

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