Provider Demographics
NPI:1114002185
Name:STEWART, RACHEL (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:STEWART
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6628 HOBBS RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-1515
Mailing Address - Country:US
Mailing Address - Phone:410-860-6729
Mailing Address - Fax:
Practice Address - Street 1:6628 HOBBS RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-1515
Practice Address - Country:US
Practice Address - Phone:410-860-6729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD074141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical