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NPI Code Detail

MEDICARE: MS. CATHERINE TAYLOR LEWIS LCSW

MEDICARE: MS. CATHERINE TAYLOR 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
11041C0700XClinical Social Worker2529KS
21041C0700XClinical Social Worker2003030494MO

General Provider Information

NPI Number : 1194872135
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHERINE TAYLOR LEWIS LCSW
Provider Business Mailing Address
First Line : 2001 W 47TH TER
Second Line :
City : WESTWOOD
State : KS
Zip : 66205-1810
Country : US
Telephone Number : 913-708-4600
Fax Number :
Provider Business Practice Location Address
First Line : 4010 WASHINGTON ST
Second Line : SUITE 401
City : KANSAS CITY
State : MO
Zip : 64111-2609
Country : US
Telephone Number : 816-561-2374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 07/08/2007

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