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
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
640 BARTLETT AVENUE
LOWER LEVEL
BALTIMORE, MD
ZIP 21218
Phone: (443) 613-0506
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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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1079	NORTH CAROLINA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCA2207	MARYLAND	Yes

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
1	LCA2207	OTHER	MARYLAND	LCADC
2	6111892	MEDICAID	NORTH CAROLINA
3	LICENSE# 1079	OTHER	NORTH CAROLINA	CLINICAL 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: 4/28/2024

NPI Synchronization or Removal

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