Provider Demographics
NPI:1598950602
Name:LEWIS, CATHERINE BEATRICE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:BEATRICE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 S MAIN AVE
Mailing Address - Street 2:319
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-3952
Mailing Address - Country:US
Mailing Address - Phone:727-726-9408
Mailing Address - Fax:
Practice Address - Street 1:51 S MAIN AVE
Practice Address - Street 2:319
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-3952
Practice Address - Country:US
Practice Address - Phone:727-726-9408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW6945101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health