Provider Demographics
NPI:1598350829
Name:LEWIS, JANICE ROCHELLE (MSW)
Entity Type:Individual
Prefix:MISS
First Name:JANICE
Middle Name:ROCHELLE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5009 E RIVERSIDE DR APT C
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-6794
Mailing Address - Country:US
Mailing Address - Phone:901-833-5546
Mailing Address - Fax:
Practice Address - Street 1:320 NW MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47708-1999
Practice Address - Country:US
Practice Address - Phone:812-893-0772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker