MS. MICHELE LEWIS M.ED LCADC-S ICGC-I NPI 1417037334

NPI Information

  • NPI: 1417037334
  • Provider Name: MS. MICHELE LEWIS, M.ED LCADC-S, ICGC-I
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 640 BARTLETT AVENUE
    LOWER LEVEL
    BALTIMORE, MD
    ZIP 21218
  • Phone: (443) 613-0506

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NPI Details

MS. Michele Lewis, M.ED LCADC-S, ICGC-I is an addiction (substance use disorder) counselor in Baltimore, MD. MS. Michele Lewis, M.ED LCADC-S, ICGC-I NPI is 1417037334. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

640 BARTLETT AVENUE
LOWER LEVEL
BALTIMORE, MD
ZIP 21218-412
Phone: (443) 613-0506

The enumeration date for this NPI number is 10/16/2006 and was last updated on 10/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)1079NORTH CAROLINANo
2101YA0400XCounselorAddiction (Substance Use Disorder)LCA2207MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1LCA2207OTHERMARYLANDLCADC
26111892MEDICAIDNORTH CAROLINA
3LICENSE# 1079OTHERNORTH CAROLINACLINICAL ADDICTION SPEC.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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