Provider Demographics
NPI:1851735898
Name:LEWIS, ZOE K (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ZOE
Middle Name:K
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:PO BOX 1045
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:CO
Mailing Address - Zip Code:80466-1045
Mailing Address - Country:US
Mailing Address - Phone:435-979-3564
Mailing Address - Fax:866-757-5778
Practice Address - Street 1:198 SOUTH TIDEN STREET
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:CO
Practice Address - Zip Code:80466
Practice Address - Country:US
Practice Address - Phone:435-979-3564
Practice Address - Fax:866-757-5778
Is Sole Proprietor?:No
Enumeration Date:2013-04-22
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099253821041C0700X
COLSW.0009921201101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health