Provider Demographics
NPI:1922178227
Name:CRANE, STEWART MARTIN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:STEWART
Middle Name:MARTIN
Last Name:CRANE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 REYNAL RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-3925
Mailing Address - Country:US
Mailing Address - Phone:914-686-1491
Mailing Address - Fax:
Practice Address - Street 1:30 REYNAL RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-3925
Practice Address - Country:US
Practice Address - Phone:914-686-1491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR026018-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health