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NPI Code Detail

MEDICARE: SANDRA K STEWART MSW, LSW

MEDICARE: SANDRA K STEWART MSW, LSW
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
1104100000XSocial WorkerS.1500724OH
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1891264719
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA K STEWART MSW, LSW
Provider Business Mailing Address
First Line : 1530 W RIVER RD N STE 300
Second Line :
City : ELYRIA
State : OH
Zip : 44035-2788
Country : US
Telephone Number : 440-657-5658
Fax Number :
Provider Business Practice Location Address
First Line : 1530 W RIVER RD N
Second Line :
City : ELYRIA
State : OH
Zip : 44035-2791
Country : US
Telephone Number : 440-212-9992
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2018
Last Update Date : 11/20/2024

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Directions to “ SANDRA K STEWART MSW, LSW” Practice Location

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