Provider Demographics
NPI:1235277567
Name:STEWART, CHERYL A (MSS LCSW)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:A
Last Name:STEWART
Suffix:
Gender:F
Credentials:MSS LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 E ASHMEAD STREET
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-2314
Mailing Address - Country:US
Mailing Address - Phone:215-438-6176
Mailing Address - Fax:215-683-5753
Practice Address - Street 1:7600 STENTON AVENUE
Practice Address - Street 2:SUITE 1F
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-3245
Practice Address - Country:US
Practice Address - Phone:215-247-5400
Practice Address - Fax:215-247-5175
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0149881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical