Provider Demographics
NPI:1891280947
Name:STEWART, WILLIAM ROOSEVELT III (MSW)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ROOSEVELT
Last Name:STEWART
Suffix:III
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2235 DEXTER WAY
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-4441
Mailing Address - Country:US
Mailing Address - Phone:510-520-4399
Mailing Address - Fax:
Practice Address - Street 1:2235 DEXTER WAY
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-4441
Practice Address - Country:US
Practice Address - Phone:510-520-4399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker