GWIN MICHELLE STEWART (NPI# 1073706008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073706008 |
| Entity Type | Individual |
| Full Name | GWIN MICHELLE STEWART |
| Credential | PH.D.,CASAC |
| Practice Address |
425 Marshall Ave Saint Louis MO 63119-1833 |
| Practice Telephone | 3147240503 |
| Practice Fax Number | 3147252744 |
| Mailing Telephone | 3147240503 |
| Mailing Fax Number | 3147252744 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
2002011104 | MO | Behavioral Health & Social Service Providers |
| Street Address |
425 MARSHALL AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63119-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710446380 | Ashley Wiegand | Marriage & Family Therapist | 425 Marshall Ave, Saint Louis, MO 63119-1833 | 2019-03-13 |
| 1922545847 | Kimberly Jane Probst Warden | Social Worker | 425 Marshall Ave, Saint Louis, MO 63119-1833 | 2017-01-30 |
| 1508302035 | Kemberlee Mahaffey | Social Worker | 425 Marshall Ave, Saint Louis, MO 63119-1833 | 2017-01-08 |
| 1033536263 | Authentic Change Counseling LLC | Counselor | 425 Marshall Ave, Saint Louis, MO 63119-1833 | 2014-03-26 |
| 1831353317 | Jessica Kiesler | Counselor | 425 Marshall Ave, Saint Louis, MO 63119-1833 | 2008-07-15 |
| 1376713933 | Center for Hope LLC | Psychologist | 425 Marshall Ave, Saint Louis, MO 63119-1833 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427557081 | The Community Counseling & Housing Services | Psychologist | 4764 Beacon Ave, Saint Louis, MO 63120-2208 | 2018-02-08 |
| 1932339041 | Tom L Ham | Psychologist | 515 Purdue Ave, Saint Louis, MO 63130-4134 | 2009-07-23 |
| 1164077624 | Lindsey Poe | Psychologist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2019-08-01 |
| 1326361502 | Robin L Dalske | Psychologist | 4330 Lindell Blvd, Saint Louis, MO 63108-2702 | 2010-03-02 |
| 1376713933 | Center for Hope LLC | Psychologist | 425 Marshall Ave, Saint Louis, MO 63119-1833 | 2008-03-10 |
| 1831296649 | Kenneth H Bohm | Psychologist | 8515 Delmar Blvd, Suite 220, Saint Louis, MO 63124-2168 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733553 | Zachary Downs | Psychologist | 2200 E Sunshine St Ste 203, Springfield, MO 65804-1886 | 2020-09-02 |
| 1184915472 | Creative Renewal & Resolutions, LLC | Psychologist | 1531 E Bradford Pkwy, Ste 210-4, Springfield, MO 65804-6566 | 2011-04-21 |
| 1386640159 | David L. Black | Psychologist | 1531 E Bradford Pkwy, Ste 210-4, Springfield, MO 65804-6566 | 2005-06-24 |
| City | SAINT LOUIS |
| Zip Code | 63119 |
Please comment or provide details below to improve the information on GWIN MICHELLE STEWART.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.