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LEWIS A. FABRICK PHD PA NPI 1508252867


NPI Information

NPI: 1508252867
Provider Name: LEWIS A. FABRICK, PHD, PA
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
2833 NW 41ST ST STE 140
GAINESVILLE, FL
ZIP 32606
Phone: (352) 338-0397
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LEWIS A. FABRICK, PHD, PA is a clinical social worker in Gainesville, FL. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. LEWIS A. FABRICK, PHD, PA NPI is 1508252867. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2833 NW 41ST ST STE 140
GAINESVILLE, FL
ZIP 32606-987
Phone: (352) 338-0397
Fax: (352) 372-6787

The provider's authorized official is Lewis A. Fabrick .
The authorized official title is Owner and has the following contact phone number (352) 338-0397.

The enumeration date for this NPI number is 4/13/2015 and was last updated on 6/3/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalSW560FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z0937OTHERFLORIDABCBS
2Z0973AOTHERFLORIDAMEDICARE PTAN

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: 11/14/2023

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