MEDICARE: KIMBERLY ANN LEWIS LMSW

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	28188-M	AR

General Provider Information

NPI Number	:	1649137001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ANN LEWIS LMSW

Provider Business Mailing Address
First Line	:	2400 S 48TH ST
Second Line	:
City	:	SPRINGDALE
State	:	AR
Zip	:	72762-6683
Country	:	US
Telephone Number	:	479-750-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 S 40TH STREET
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72756-1802
Country	:	US
Telephone Number	:	479-273-9088
Fax Number	:

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

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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Directions to “ KIMBERLY ANN LEWIS LMSW” Practice Location

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