Provider Demographics
NPI:1295600575
Name:STEWARD, NICOLE (MSW, ACSW, PPSC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:STEWARD
Suffix:
Gender:F
Credentials:MSW, ACSW, PPSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 E CALAVERAS BLVD
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5707
Mailing Address - Country:US
Mailing Address - Phone:408-635-2600
Mailing Address - Fax:
Practice Address - Street 1:1331 E CALAVERAS BLVD
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5707
Practice Address - Country:US
Practice Address - Phone:408-635-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW1195931041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool