Provider Demographics
NPI:1326364621
Name:LEWIS, OSCAR JAMES JR (LCSW-R, PHD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:JAMES
Last Name:LEWIS
Suffix:JR
Gender:M
Credentials:LCSW-R, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 BOYNTON AVE
Mailing Address - Street 2:SUITE 16L
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-4649
Mailing Address - Country:US
Mailing Address - Phone:718-530-4631
Mailing Address - Fax:
Practice Address - Street 1:880 BOYNTON AVE
Practice Address - Street 2:SUITE 16L
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-4649
Practice Address - Country:US
Practice Address - Phone:718-530-4631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0525781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical