MEDICARE: STEPHANIE R B LEWIN 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	LCSW-4967	HI

General Provider Information

NPI Number	:	1457058901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE R B LEWIN LCSW

Provider Business Mailing Address
First Line	:	1003 BISHOP ST STE 1420
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-6444
Country	:	US
Telephone Number	:	808-777-9488
Fax Number	:

Provider Business Practice Location Address
First Line	:	1003 BISHOP ST STE 1420
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-6444
Country	:	US
Telephone Number	:	808-777-9488
Fax Number	:

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

Provider Enumeration Date	:	02/14/2023
Last Update Date	:	02/04/2026

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