| Alison Lewis, Lcsw, Llc | |
|
357 E Center St Manchester CT 06040-4472 | |
| (860) 490-5157 | |
| (860) 498-1237 |
| Full Name | Alison Lewis, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 357 E Center St, Manchester, Connecticut |
| Authorized Official Name and Position | Alison Ks Lewis (OWNER/MEMBER) |
| Authorized Official Contact | 8604905157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alison Lewis, Lcsw, Llc Po Box 23 Andover CT 06232-0023 Ph: (860) 490-5157 | Alison Lewis, Lcsw, Llc 357 E Center St Manchester CT 06040-4472 Ph: (860) 490-5157 |
| NPI Number | 1487033528 |
|---|---|
| Provider Enumeration Date | 05/21/2015 |
| Last Update Date | 05/21/2015 |
| Medicare PECOS PAC ID | 8628374162 |
|---|---|
| Medicare Enrollment ID | O20160310000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487033528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 008906 (Connecticut) | Primary |
| Provider Name | Alison K.s Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164811170 PECOS PAC ID: 3476870783 Enrollment ID: I20150326000205 |
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