Provider Demographics
NPI:1487332169
Name:STEWART, MONTE (MSW, LSW)
Entity type:Individual
Prefix:
First Name:MONTE
Middle Name:
Last Name:STEWART
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 HAYWARD AVE
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107-3109
Mailing Address - Country:US
Mailing Address - Phone:224-508-6538
Mailing Address - Fax:
Practice Address - Street 1:720 HAYWARD AVE
Practice Address - Street 2:
Practice Address - City:STREAMWOOD
Practice Address - State:IL
Practice Address - Zip Code:60107-3109
Practice Address - Country:US
Practice Address - Phone:224-508-6538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.106648104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker