Provider Demographics
NPI:1851505317
Name:LEWIS, HARRY WILL (MSW, CSW, EDD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:WILL
Last Name:LEWIS
Suffix:
Gender:M
Credentials:MSW, CSW, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 CHARLES ST
Mailing Address - Street 2:BASEMENT EAST OFFICE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-2514
Mailing Address - Country:US
Mailing Address - Phone:212-675-6592
Mailing Address - Fax:
Practice Address - Street 1:115 CHARLES ST
Practice Address - Street 2:BASEMENT EAST OFFICE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-2514
Practice Address - Country:US
Practice Address - Phone:212-675-6592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR024863-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN17241Medicare ID - Type UnspecifiedCLINICAL SOCIAL WORKER