| Doctor Name: | PHYLLIS K STEWART |
| NPI Number: | 1033322565 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCS05270 |
| Business Practice Address: | 15300 Ventura Blvd Suite 408 Sherman Oaks, CA - 914033103 |
| Business Phone Number: | 8187897728 |
| Business Fax Number: | 3234660547 |
| Mailing Address: | 5513 Ridge Oak Dr, LOS ANGELES |
| State: | CA |
| Postal Code: | 900682553 |
| Phone Number: | 8187897728 |
| Fax Number: | 3234660547 |
| NPI Enumeration Date: | 05/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS05270 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |