MARY VIRGINIA STEWART CDCA NPI 1902663685

NPI Information

  • NPI: 1902663685
  • Provider Name: MARY VIRGINIA STEWART, CDCA
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 110 CARPENTER FARM DR LOT 15
    MOORESBURG, TN
    ZIP 37811
  • Phone: (304) 784-2082

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NPI Details

Mary Virginia Stewart, CDCA is an addiction (substance use disorder) counselor in Mooresburg, TN. Mary Virginia Stewart, CDCA NPI is 1902663685. 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:

110 CARPENTER FARM DR LOT 15
MOORESBURG, TN
ZIP 37811-363
Phone: (304) 784-2082

The enumeration date for this NPI number is 2/29/2024 and was last updated on 2/29/2024.

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)186895OHIOYes

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: 11/21/2025

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