Individual
ALYSSA JUNE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-0000
Mailing address
5515 LOWELL AVE, INDIANAPOLIS, IN 46219-5809
(765) 960-0585
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34010453A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103692468
ANTHEM PTAN
IN
05
—
300092463
—
IN
Enumeration date
08/04/2023
Last updated
05/09/2025
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