| Reed C. Stewart Licensed Clinical Social Worker Pc | |
|
884 Brighton Rd Tonawanda NY 14150-8169 | |
| (716) 836-9460 | |
| Not Available |
| Full Name | Reed C. Stewart Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 884 Brighton Rd, Tonawanda, New York |
| Authorized Official Name and Position | Reed C Stewart (PRESIDENT) |
| Authorized Official Contact | 7169903560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reed C. Stewart Licensed Clinical Social Worker Pc 8940 Rivershore Dr Niagara Falls NY 14304-4445 Ph: (716) 990-3560 | Reed C. Stewart Licensed Clinical Social Worker Pc 884 Brighton Rd Tonawanda NY 14150-8169 Ph: (716) 836-9460 |
| NPI Number | 1356802599 |
|---|---|
| Provider Enumeration Date | 03/29/2019 |
| Last Update Date | 03/29/2019 |
| Medicare PECOS PAC ID | 3971836396 |
|---|---|
| Medicare Enrollment ID | O20190617002485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356802599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Reed C Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437242203 PECOS PAC ID: 3577529759 Enrollment ID: I20140804001782 |
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