MS. KELLI STEWART MSW LCSW MDIV NPI 1871661561

NPI Information

  • NPI: 1871661561
  • Provider Name: MS. KELLI STEWART, MSW, LCSW, MDIV
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 351 WAGONER DR STE 319
    FAYETTEVILLE, NC
    ZIP 28303
  • Phone: (919) 721-8602

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NPI Details

MS. Kelli Stewart, MSW, LCSW, MDIV is a mental health counselor in Fayetteville, NC. MS. Kelli Stewart, MSW, LCSW, MDIV NPI is 1871661561. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

351 WAGONER DR STE 319
FAYETTEVILLE, NC
ZIP 28303-671
Phone: (919) 721-8602

The NPI 1871661561 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 12/1/2006 and was last updated on 4/1/2014.

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
1101YP2500XCounselorProfessionalC007077NORTH CAROLINANo
2101YM0800XCounselorMental HealthC007077NORTH CAROLINAYes

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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