Individual
MS. JAN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED CLINICAL SO
Contact information
Practice address
4233 HIGHWAY 411, MADISONVILLE, TN 37354-1571
(423) 884-1950
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW664
TN
1041S0200X
School Social Worker
000510023
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513312
—
TN
Enumeration date
04/20/2007
Last updated
05/05/2026
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