Provider Demographics
NPI:1780424598
Name:STEWART, ANNA MARIE (LMSW-T)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:STEWART
Suffix:
Gender:F
Credentials:LMSW-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 WINSTON PL APT 2
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-6551
Mailing Address - Country:US
Mailing Address - Phone:919-738-2910
Mailing Address - Fax:
Practice Address - Street 1:1201 POYNTZ AVE
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-4361
Practice Address - Country:US
Practice Address - Phone:785-510-3008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-29
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13951-T104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker