Provider Demographics
NPI:1043300445
Name:LEWIS, BARBARA R (LICSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:R
Last Name:LEWIS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 815
Mailing Address - Street 2:
Mailing Address - City:EAST SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02537-0815
Mailing Address - Country:US
Mailing Address - Phone:508-888-6606
Mailing Address - Fax:508-888-3038
Practice Address - Street 1:117 N SHORE BLVD
Practice Address - Street 2:
Practice Address - City:EAST SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02537-1071
Practice Address - Country:US
Practice Address - Phone:508-888-6606
Practice Address - Fax:508-888-3038
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1013101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical