Individual
RANDALL H STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4040 MEMORIAL PKWY SW, MENTAL HEALTH CENTER OF MADISON COUNTY, HUNTSVILLE, AL 35802-4364
(256) 417-9050
Mailing address
1304 BUTTER AND EGG RD, HAZEL GREEN, AL 35750-8315
(256) 417-9050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0837-2086C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11736560
CAQH
—
01
—
2531480
CIGNA
—
01
—
515-46879
BCBS
AL
01
—
515-48238
FEDERAL BCBS
—
Enumeration date
01/16/2007
Last updated
08/20/2009
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