MEDICARE: CHRISTY LEWIS 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	CW015715	PA

General Provider Information

NPI Number	:	1649590407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY LEWIS LCSW

Provider Business Mailing Address
First Line	:	201 S JOHNSON RD
Second Line	:	FOXPOINTE CENTRE SUITE 200
City	:	HOUSTON
State	:	PA
Zip	:	15342-1351
Country	:	US
Telephone Number	:	724-745-3010
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 S JOHNSON RD
Second Line	:	FOXPOINTE CENTRE SUITE 200
City	:	HOUSTON
State	:	PA
Zip	:	15342-1351
Country	:	US
Telephone Number	:	724-745-3010
Fax Number	:

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

Provider Enumeration Date	:	06/03/2010
Last Update Date	:	06/03/2010

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Directions to “ CHRISTY LEWIS LCSW” Practice Location

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