MR. KEVIN M STEWART PSYD LADAC CADAC NPI 1750497368

NPI Information

  • NPI: 1750497368
  • Provider Name: MR. KEVIN M STEWART, PSYD LADAC CADAC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 585 LINCOLN STREET
    WORCESTER, MA
    ZIP 01605
  • Phone: (508) 854-3320

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NPI Details

MR. Kevin M Stewart, PSYD LADAC CADAC is an addiction (substance use disorder) counselor in Worcester, MA. MR. Kevin M Stewart, PSYD LADAC CADAC NPI is 1750497368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

585 LINCOLN STREET
WORCESTER, MA
ZIP 01605
Phone: (508) 854-3320
Fax: (508) 753-5051

The enumeration date for this NPI number is 8/23/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)1931MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M18684OTHERBCBS MH
22220002001OTHERMASSACHUSETTSBCBS SA
3Y10400MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
41308785OTHERMASSACHUSETTSMCD MH
51306421MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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