Provider Demographics
NPI:1013399526
Name:STEWART-WALKER, DAWN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:
Last Name:STEWART-WALKER
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 1:605 S EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60304-1203
Mailing Address - Country:US
Mailing Address - Phone:708-953-5543
Mailing Address - Fax:
Practice Address - Street 1:115 N OAK PARK AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1345
Practice Address - Country:US
Practice Address - Phone:708-953-5543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-19
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490160411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical