Provider Demographics
NPI:1740482942
Name:STEWART, ROSEMARY T (MSW)
Entity type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:T
Last Name:STEWART
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 WILLIAMSDOWNS CIR
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-2346
Mailing Address - Country:US
Mailing Address - Phone:770-978-9729
Mailing Address - Fax:770-978-9729
Practice Address - Street 1:2450 WILLIAMSDOWNS CIR
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-2346
Practice Address - Country:US
Practice Address - Phone:770-978-9729
Practice Address - Fax:770-978-9729
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW002078104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker