Provider Demographics
NPI:1750436671
Name:LEWIS, JUDITH HOPE (MSW, BCD)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:HOPE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 SPRAGUE AVE
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3216
Mailing Address - Country:US
Mailing Address - Phone:978-458-6857
Mailing Address - Fax:
Practice Address - Street 1:18 SPRAGUE AVE
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3216
Practice Address - Country:US
Practice Address - Phone:978-458-6857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1038891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical