Provider Demographics
NPI:1790269926
Name:STEWART, LUCRITIA STEWART (MSW, LICSW, LCSW-C)
Entity Type:Individual
Prefix:
First Name:LUCRITIA
Middle Name:STEWART
Last Name:STEWART
Suffix:
Gender:F
Credentials:MSW, LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 M ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-5183
Mailing Address - Country:US
Mailing Address - Phone:202-558-6490
Mailing Address - Fax:
Practice Address - Street 1:1224 M ST NW STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-5225
Practice Address - Country:US
Practice Address - Phone:202-558-6490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD208051041C0700X
DCLC500815511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical