Stewart, Kevin M

Stewart, Kevin M is an individual health care provider with primary practice located at 585 Lincoln Street , Worcester MA 01605. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Stewart, Kevin M can be contacted via phone (508) 854-3320.

Contact Information

Primary practice address
585 Lincoln Street Worcester MA 01605
Phone: (508) 854-3320
Fax: (508) 753-5051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1931 Massachusetts

Profile Details

NPI number 1750497368
LBN Legal business name Stewart, Kevin M
Credentials PSYD LADAC CADAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750497368 NPPES
Massachusetts Other 2220002001 BCBS SA
Massachusetts Other M18684 BCBS SA
Massachusetts MEDICAID 1306421 BCBS SA
Massachusetts Other 1308785 BCBS SA

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