Provider Demographics
NPI:1790700011
Name:LEWIS, GERMAINE MARIE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:GERMAINE
Middle Name:MARIE
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:PO BOX 305165
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00803-5165
Mailing Address - Country:US
Mailing Address - Phone:340-774-5017
Mailing Address - Fax:340-774-5384
Practice Address - Street 1:9800 BUCCANEER MALL STE 8
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2402
Practice Address - Country:US
Practice Address - Phone:340-774-5017
Practice Address - Fax:340-774-5384
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1-2017972-20061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical