Provider Demographics
NPI:1760667042
Name:BALDWIN, LEWIS MICHAEL III (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:LEWIS
Middle Name:MICHAEL
Last Name:BALDWIN
Suffix:III
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2957 HC TURNER RD
Mailing Address - Street 2:
Mailing Address - City:PINK HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28572-9522
Mailing Address - Country:US
Mailing Address - Phone:910-232-9885
Mailing Address - Fax:
Practice Address - Street 1:2957 HC TURNER RD
Practice Address - Street 2:
Practice Address - City:PINK HILL
Practice Address - State:NC
Practice Address - Zip Code:28572-9522
Practice Address - Country:US
Practice Address - Phone:910-232-9885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-04
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0061511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6007041Medicaid