Provider Demographics
NPI:1578649315
Name:LEWIS, RACHEL SHERMAN (MSW LICSW)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:SHERMAN
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 RUSSELL'S MILLS RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02748
Mailing Address - Country:US
Mailing Address - Phone:508-997-6091
Mailing Address - Fax:508-999-7795
Practice Address - Street 1:50 NORTH SECOND ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740
Practice Address - Country:US
Practice Address - Phone:508-997-6091
Practice Address - Fax:508-999-7795
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA111355104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2283799OtherUHC
1221960007OtherMAGELLAN BEHAVIORAL HEALT
MA1857207Medicaid
015114OtherPACIFICARE BEHAVIORAL HEA
MAP08049OtherBCBS
MAP08049OtherBCBS
1221960007OtherMAGELLAN BEHAVIORAL HEALT