Provider Demographics
NPI:1649264524
Name:STEWART, BARBARA ELAINE (MSW LSCSW ACSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ELAINE
Last Name:STEWART
Suffix:
Gender:F
Credentials:MSW LSCSW ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 422
Mailing Address - Street 2:
Mailing Address - City:BONNER SPRINGS
Mailing Address - State:KS
Mailing Address - Zip Code:66012-0422
Mailing Address - Country:US
Mailing Address - Phone:816-590-9104
Mailing Address - Fax:
Practice Address - Street 1:11933 KAW DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66111-1103
Practice Address - Country:US
Practice Address - Phone:816-590-9104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS06231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO22916014OtherBCBS
KS705785OtherBCBS
MO22916014OtherBCBS