Provider Demographics
NPI:1972546885
Name:STEWART, REED M II (MSW, LMSW)
Entity type:Individual
Prefix:
First Name:REED
Middle Name:M
Last Name:STEWART
Suffix:II
Gender:M
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 S PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-1897
Mailing Address - Country:US
Mailing Address - Phone:517-677-6453
Mailing Address - Fax:517-367-0681
Practice Address - Street 1:1808 S PENNSYLVANIA AVE
Practice Address - Street 2:SUITE C
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-1897
Practice Address - Country:US
Practice Address - Phone:517-677-6453
Practice Address - Fax:517-367-0681
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010836691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical