Provider Demographics
NPI:1255539219
Name:STEWART, ANNE ROSS (D MIN, LCPC, LCMFT)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:ROSS
Last Name:STEWART
Suffix:
Gender:F
Credentials:D MIN, LCPC, LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CARVEL CIR
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:MD
Mailing Address - Zip Code:21037-1005
Mailing Address - Country:US
Mailing Address - Phone:410-266-8596
Mailing Address - Fax:410-266-9740
Practice Address - Street 1:8 CARVEL CIR
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-1005
Practice Address - Country:US
Practice Address - Phone:410-266-8596
Practice Address - Fax:410-266-9740
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X
MDLCO344101YP2500X
MDLCM060106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist