MEDICARE: MRS. PATRICIA LEWIS LPC

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	104100000X	Social Worker	PC001148	PA

General Provider Information

NPI Number	:	1598796807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA LEWIS LPC

Provider Business Mailing Address
First Line	:	7 GLASSWORKS RD
Second Line	:
City	:	GREENSBORO
State	:	PA
Zip	:	15338-9507
Country	:	US
Telephone Number	:	724-943-3308
Fax Number	:	724-943-4929

Provider Business Practice Location Address
First Line	:	351 W BEAU ST STE 200
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-4663
Country	:	US
Telephone Number	:	724-228-1089
Fax Number	:

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

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	12/13/2023

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