| Robert W Stewart Phd Llc | |
|
1948 N John Young Pkwy Kissimmee FL 34741-3221 | |
| (407) 460-0418 | |
| Not Available |
| Full Name | Robert W Stewart Phd Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1948 N John Young Pkwy, Kissimmee, Florida |
| Authorized Official Name and Position | Robert William Stewart (OWNER) |
| Authorized Official Contact | 4074600418 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert W Stewart Phd Llc 1948 N John Young Pkwy Kissimmee FL 34741-3221 Ph: (407) 460-0418 | Robert W Stewart Phd Llc 1948 N John Young Pkwy Kissimmee FL 34741-3221 Ph: (407) 460-0418 |
| NPI Number | 1659651594 |
|---|---|
| Provider Enumeration Date | 08/24/2011 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7810169810 |
|---|---|
| Medicare Enrollment ID | O20111128000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659651594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW7915 (Florida) | Primary |
| Provider Name | Robert W Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265400188 PECOS PAC ID: 0648372029 Enrollment ID: I20070305000219 |
| Provider Name | David Charles Congdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588815617 PECOS PAC ID: 8123379997 Enrollment ID: I20180919000053 |
| Provider Name | Moriama Medina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093058638 PECOS PAC ID: 8820440266 Enrollment ID: I20240122000903 |
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