MEDICARE: BARBARA ELAINE STEWART MSW LSCSW ACSW

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	1041C0700X	Clinical Social Worker	0623	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	22916014	OTHER	MO	BCBS
2	705785	OTHER	KS	BCBS

General Provider Information

NPI Number	:	1649264524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA ELAINE STEWART MSW LSCSW ACSW

Provider Business Mailing Address
First Line	:	PO BOX 422
Second Line	:
City	:	BONNER SPRINGS
State	:	KS
Zip	:	66012-0422
Country	:	US
Telephone Number	:	816-590-9104
Fax Number	:

Provider Business Practice Location Address
First Line	:	11933 KAW DR
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66111-1103
Country	:	US
Telephone Number	:	816-590-9104
Fax Number	:

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

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	10/06/2011

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