Provider Demographics
NPI:1124207964
Name:STEWART, SHAWNTE SHARIE (MSW)
Entity Type:Individual
Prefix:MS
First Name:SHAWNTE
Middle Name:SHARIE
Last Name:STEWART
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 CORPORATE PL
Mailing Address - Street 2:SUITE A
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-6957
Mailing Address - Country:US
Mailing Address - Phone:707-648-2000
Mailing Address - Fax:707-648-2300
Practice Address - Street 1:100 CORPORATE PL
Practice Address - Street 2:SUITE A
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-6957
Practice Address - Country:US
Practice Address - Phone:707-648-2000
Practice Address - Fax:707-648-2300
Is Sole Proprietor?:No
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker