Provider Demographics
NPI:1891133351
Name:LEWIS, BARBARA R (MSW)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:R
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 400665
Mailing Address - Street 2:1953 MASSACHUSETTS AVE
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-0007
Mailing Address - Country:US
Mailing Address - Phone:781-223-5145
Mailing Address - Fax:
Practice Address - Street 1:242 BAKER AVE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2112
Practice Address - Country:US
Practice Address - Phone:978-287-9380
Practice Address - Fax:978-287-9314
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2183881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical