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NPI Code Detail

MEDICARE: DAVID LEWIS LCSW

MEDICARE: DAVID 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 Worker9835646-3501UT

General Provider Information

NPI Number : 1548128127
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID LEWIS LCSW
Provider Business Mailing Address
First Line : 14774 S CANYON WILD RD
Second Line :
City : DRAPER
State : UT
Zip : 84020-1600
Country : US
Telephone Number : 385-377-0282
Fax Number :
Provider Business Practice Location Address
First Line : 2250 N MILLER CAMPUS DR
Second Line :
City : LEHI
State : UT
Zip : 84048-7233
Country : US
Telephone Number : 385-531-1809
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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