David R Lewis, MSSW, LICSW | |
464 S Saint Joseph Ave, Arcadia, WI 54612-1401 | |
(608) 323-3210 | |
Not Available |
Full Name | David R Lewis |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 464 S Saint Joseph Ave, Arcadia, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689885451 | NPI | - | NPPES |
40907100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 6892-123 (Wisconsin) | Primary |
Entity Name | Catholic Charities Of The Diocese Of Winona-rochester |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003848557 PECOS PAC ID: 4880692581 Enrollment ID: O20061113000198 |
Mailing Address | Practice Location Address |
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David R Lewis, MSSW, LICSW 831 5th St Ne, Rochester, MN 55906-4476 Ph: () - | David R Lewis, MSSW, LICSW 464 S Saint Joseph Ave, Arcadia, WI 54612-1401 Ph: (608) 323-3210 |
Kim M Davis-rislove, MSSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 895 Dettloff Dr, Arcadia, WI 54612 Phone: 608-785-0940 | |
David E Brown, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 895 Dettloff Dr, Arcadia, WI 54612 Phone: 608-785-0940 | |
Janet W Butler, MSSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 895 Dettloff Dr, Arcadia, WI 54612 Phone: 608-785-0940 |