Provider Demographics
NPI:1891706685
Name:STEWART, NANCY G (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:G
Last Name:STEWART
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7119 AFTON DR
Mailing Address - Street 2:BIRCH TREE PLAZA, SUITE 202
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-5701
Mailing Address - Country:US
Mailing Address - Phone:856-607-2166
Mailing Address - Fax:
Practice Address - Street 1:7119 AFTON DR
Practice Address - Street 2:BIRCH TREE PLAZA, SUITE 202
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-5701
Practice Address - Country:US
Practice Address - Phone:856-607-2166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00001411041C0700X
MD134661041C0700X
TN53501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical