MEDICARE: CHRISTEN LEWIS RSW

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	9513	LA
2	171M00000X	Case Manager/Care Coordinator	9513	LA
3	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821460668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTEN LEWIS RSW

Provider Business Mailing Address
First Line	:	11616 SOUTHFORK AVE
Second Line	:	SUITE 203
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-5241
Country	:	US
Telephone Number	:	225-291-9718
Fax Number	:	225-291-9692

Provider Business Practice Location Address
First Line	:	4348 S JEFFREY DR STE 102
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4196
Country	:	US
Telephone Number	:	225-369-0219
Fax Number	:

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

Provider Enumeration Date	:	10/20/2015
Last Update Date	:	05/14/2019

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Directions to “ CHRISTEN LEWIS RSW” Practice Location

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