MEDICARE: ERIN ASHLEY LEWANDOWSKI LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	23049	AZ

General Provider Information

NPI Number	:	1205518388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN ASHLEY LEWANDOWSKI LCSW

Provider Business Mailing Address
First Line	:	281 W 24TH ST STE 135
Second Line	:
City	:	YUMA
State	:	AZ
Zip	:	85364-8587
Country	:	US
Telephone Number	:	928-750-5190
Fax Number	:

Provider Business Practice Location Address
First Line	:	281 W 24TH ST STE 135
Second Line	:
City	:	YUMA
State	:	AZ
Zip	:	85364-8587
Country	:	US
Telephone Number	:	928-750-5190
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2023
Last Update Date	:	04/06/2026

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