Kelly Marie Stewart, LISW | |
7071 S 13th St Ste 100, Oak Creek, WI 53154-1466 | |
(414) 502-8762 | |
Not Available |
Full Name | Kelly Marie Stewart |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 7071 S 13th St Ste 100, Oak Creek, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316189806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 06175 (Iowa) | Secondary |
1041C0700X | Social Worker - Clinical | 9777-123 (Wisconsin) | Primary |
Entity Name | Broadlawns Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
Mailing Address | Practice Location Address |
---|---|
Kelly Marie Stewart, LISW 7071 S 13th St Ste 100, Oak Creek, WI 53154-1466 Ph: (414) 502-8762 | Kelly Marie Stewart, LISW 7071 S 13th St Ste 100, Oak Creek, WI 53154-1466 Ph: (414) 502-8762 |
Tina M Schumacher, LCSW, CSAC, ICS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7010 S Crane Dr, Oak Creek, WI 53154 Phone: 414-530-6726 | |
Ms. Leann Spahn, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3010 E Forest Ln, Oak Creek, WI 53154 Phone: 414-768-8736 Fax: 414-571-6140 | |
Lynn Hansen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6416 S Howell Ave, Oak Creek, WI 53154 Phone: 414-762-5429 |