SUE ANN STEWART


Address: 112 Highway 371 S, Hackensack, MN 56452-2638
Phone: 2186755101

SUE ANN STEWART (NPI# 1780248807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780248807
Entity Type Individual
Full Name SUE ANN STEWART
Credential CFPS
Practice Address 112 Highway 371 S
Hackensack
MN 56452-2638
Mailing Address 317 28th Ave Nw
Backus
MN 56435-2322
Practice Telephone 2186755101
Mailing Telephone 2185872285
Enumeration Date 2019-04-24
Last Update Date 2019-04-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
112 Highway 371 S, Hackensack, MN 564522638 2186755101

Office Location

Street Address 112 HIGHWAY 371 S
City HACKENSACK
State MN
Zip Code 56452-2638

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861978553 Bryana Cook Social Worker 112 Highway 371 S, Hackensack, MN 56452-2638 2018-07-16
1669036968 Luann Gravelle Peer Specialist 112 Highway 371 S, Hackensack, MN 56452-2638 2019-04-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528541729 Paula Marie Schroeder Social Worker 112 Mn-371, Hackensack, MN 56452 2018-09-13
1598215295 Faith In Action for Cass County Voluntary or Charitable 120 Whipple Ave E, Suite B, Hackensack, MN 56452 2016-10-06
1134521321 Christine Marie Davis Counselor 122 1st St N, Hackensack, MN 56452 2014-09-19
1164786398 Carol Ellen Horsager Marriage & Family Therapist 122 First Street North, Hackensack, MN 56452 2012-07-03
1770669665 Linnea Frances Dietrich Marriage & Family Therapist 122 1st St. N., Hackensack, MN 56452 2006-10-31
1073997128 Kate Jodell Beaman Friesner Marriage & Family Therapist 122 First Street North, Hackensack, MN 56452 2015-07-17
1750699914 Barbara Ann Clemens Nurse Practitioner 110 3rd St S, Hackensack., MN 56452 2010-09-21
1386802866 Julie A Malnati Physician Assistant 110 3rd St S, Hackensack, MN 56452 2008-05-30
1275539900 Lee-ann Charlene Marchwick Chiropractor 3065 State 371 Nw 2, Hackensack, ME 56452-0004 2005-06-27
1760646715 Birch Lake Counseling LLC Clinic/Center 122 1st St. N., Hackensack, MN 56452-0471 2008-07-17
Find all providers in zip 56452

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669036968 Luann Gravelle Peer Specialist 112 Highway 371 S, Hackensack, MN 56452-2638 2019-04-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477152767 Sara Eigenheer Peer Specialist 600 25th Ave S Ste 104, Saint Cloud, MN 56301-4820 2020-10-19
1225636459 Melanie Joann Wettstein Peer Specialist 5027 Evergreen Dr N Unit 3, Hugo, MN 55038-8578 2020-10-10
1184274904 Twin Cities Recovery Project Inc Peer Specialist 3400 E Lake St, Minneapolis, MN 55406-2150 2019-09-13
1821556614 Minnesota Recovery Connection Peer Specialist 2446 University Ave W Ste 112, Saint Paul, MN 55114-1740 2019-03-11
1720527872 Kerry Leno Peer Specialist 1132 28th Ave S Ste 102, Moorhead, MN 56560-4420 2017-02-21
1265890073 Miles Hamlin-zamojski Peer Specialist 3800 Aldrich Ave S, Apt 2, Minneapolis, MN 55409-1027 2016-02-08
1992347694 Peter Green Peer Specialist 3400 E Lake St, Minneapolis, MN 55406-2150 2019-10-14
1083256002 Lauren A Foster Peer Specialist 117 W James St, Paynesville, MN 56362-1216 2019-10-10
1285197756 Beyond Brink Peer Specialist 314 Chestnut St, Mankato, MN 56001-3032 2019-04-10

Competitor

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City HACKENSACK
Zip Code 56452

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Dataset Information

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.

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