MEDICARE: ALBERT THOMAS LEWIS LMSW, LCADC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCA259	MD
2	101YM0800X	Mental Health Counselor	6801075672	MI

General Provider Information

NPI Number	:	1336115211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERT THOMAS LEWIS LMSW, LCADC

Provider Business Mailing Address
First Line	:	31169 CONLEYS CHAPEL RD
Second Line	:
City	:	LEWES
State	:	DE
Zip	:	19958-5512
Country	:	US
Telephone Number	:	760-270-1279
Fax Number	:

Provider Business Practice Location Address
First Line	:	MENTAL HEALTH, DEWITT ARMY HOSPITAL 9501 FARRELL RD.
Second Line	:
City	:	FORT BELVIOR
State	:	VA
Zip	:	22060
Country	:	US
Telephone Number	:	703-805-0599
Fax Number	:

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

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	09/11/2025

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