Charelle Stewart

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ADT1919 Issued in MD

Practice address

4545 Crain Hwy
White Plains, MD 20695-3045

Phone

(301) 609-6900

Fax

(301) 934-1234

NPI assigned

Mar 25, 2020

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1154958684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 CRAIN HWY",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953045",
            "telephone_number": "301-609-6900",
            "fax_number": "301-934-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 CRAIN HWY",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953045",
            "telephone_number": "301-609-6900",
            "fax_number": "301-934-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CHARELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "ADT1919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlre' Evanthoni Slaughter-Atiemo, M.D.
• Candace M Smith
• Ebony Smith
• Mikeala Tiara Smith, LGSW
• Zakiya Steadman, MD
• Sheryl A Stoops, LCPC
• Shereen Sutherland
• David Tardio, MD
• Donald Harry Taylor, D.O.
• Kimberly Teasley, RN

• Addiction (Substance Use Disorder) Counselor in White Plains, MD
• Providers in White Plains, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.