Provider Demographics
NPI:1790439248
Name:STEWART, VERONICA RESCHELLE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:RESCHELLE
Last Name:STEWART
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:TODD-CARMICHAEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:VERONICA TODD
Mailing Address - Street 1:19127 GRANDVIEW PT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-4580
Mailing Address - Country:US
Mailing Address - Phone:254-458-3043
Mailing Address - Fax:936-597-7287
Practice Address - Street 1:19127 GRANDVIEW PT
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-4580
Practice Address - Country:US
Practice Address - Phone:254-458-3043
Practice Address - Fax:936-597-7287
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103403104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker