MEDICARE: KATHARINE ELIZABETH STEWART LCSW

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	101YM0800X	Mental Health Counselor	C006217	NC

General Provider Information

NPI Number	:	1548413123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHARINE ELIZABETH STEWART LCSW

Provider Business Mailing Address
First Line	:	330 VALLEY RIVER AVE
Second Line	:
City	:	MURPHY
State	:	NC
Zip	:	28906-2923
Country	:	US
Telephone Number	:	828-837-0071
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 VALLEY RIVER AVE
Second Line	:
City	:	MURPHY
State	:	NC
Zip	:	28906-2923
Country	:	US
Telephone Number	:	828-837-0071
Fax Number	:

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

Provider Enumeration Date	:	10/28/2008
Last Update Date	:	10/28/2008

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