Doctor Name: | MR. TIMOTHY JARED STEWART |
NPI Number: | 1114270998 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW, PIP |
License Number: | 1017-2376C |
Business Practice Address: | 11491 Us Highway 431 Albertville, AL - 359500136 |
Business Phone Number: | 2565718711 |
Business Fax Number: | 2565718721 |
Mailing Address: | 11491 Us Highway 431, ALBERTVILLE |
State: | AL |
Postal Code: | 359500136 |
Phone Number: | 2565718711 |
Fax Number: | 2565718721 |
NPI Enumeration Date: | 10/18/2012 |
NPI Last Update Date: | 10/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1017-2376C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |