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NPI Code Detail

MEDICARE: AMANDA M LEWIS LCSW

MEDICARE: AMANDA M 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 Worker900MT

General Provider Information

NPI Number : 1972736957
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA M LEWIS LCSW
Provider Business Mailing Address
First Line : PO BOX 443
Second Line :
City : JOLIET
State : MT
Zip : 59041-0443
Country : US
Telephone Number : 406-671-8567
Fax Number : 888-516-4496
Provider Business Practice Location Address
First Line : 304 GRAND AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59101-5923
Country : US
Telephone Number : 406-671-8567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2009
Last Update Date : 02/09/2022

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