Gwin Michelle Stewart, PH.D.,CASAC

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

2002011104 Issued in MO

Practice address

425 Marshall Ave
Saint Louis, MO 63119-1833

Phone

(314) 724-0503

Fax

(314) 725-2744

NPI assigned

Aug 22, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1073706008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MARSHALL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191833",
            "telephone_number": "314-724-0503",
            "fax_number": "314-725-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MARSHALL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191833",
            "telephone_number": "314-724-0503",
            "fax_number": "314-725-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "GWIN",
        "middle_name": "MICHELLE",
        "credential": "PH.D.,CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "2002011104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmencita Stewart
• Cherelle Yvonne Stewart
• Denton Jay Stewart, PHD
• Erin Kathryn Stewart, AUD
• Gina Stewart
• James Stewart
• James Galen Stewart, MD
• Janiece N Stewart, M.D.
• Jordin Stewart
• Kali Stewart, MD

• Addiction (Substance Use Disorder) Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Addiction (Substance Use Disorder) Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.