| Tasha Lewis, LCSW | |
|
612 E Arkansas St, Star City, AR 71667-4842 | |
| (870) 628-4181 | |
| (870) 628-5369 |
| Full Name | Tasha Lewis |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 13 Years |
| Location | 612 E Arkansas St, Star City, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689980039 | NPI | - | NPPES |
| 116378726 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6989C (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Arkansas Behavioral Healthcare System Inc | 0042292674 | 16 |
| Brightside Medical Of Michigan Pc | 9830562776 | 93 |
| Entity Name | Southeast Arkansas Behavioral Healthcare System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457398547 PECOS PAC ID: 0042292674 Enrollment ID: O20040607000289 |
| Entity Name | Brightside Medical Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230821000585 |
| Mailing Address | Practice Location Address |
|---|---|
| Tasha Lewis, LCSW 2500 Rike Dr, Pine Bluff, AR 71603-3937 Ph: (870) 534-1834 | Tasha Lewis, LCSW 612 E Arkansas St, Star City, AR 71667-4842 Ph: (870) 628-4181 |
Amanda H Kelley, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 N Drew St, Star City, AR 71667 Phone: 870-628-5110 Fax: 855-854-6281 | |
Cynthia G Slaughter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 612 E Arkansas St, Star City, AR 71667 Phone: 870-628-4181 Fax: 870-628-5369 |