Provider Demographics
NPI:1619350543
Name:AARON A. LEW, LCSW, LLC
Entity Type:Organization
Organization Name:AARON A. LEW, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEW
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:773-274-8765
Mailing Address - Street 1:2533 W FARWELL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-4617
Mailing Address - Country:US
Mailing Address - Phone:773-274-8765
Mailing Address - Fax:
Practice Address - Street 1:2533 W FARWELL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-4617
Practice Address - Country:US
Practice Address - Phone:773-274-8765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty