| Donna M Lewis Lcsw Pllc | |
|
1713 Old Spanish Trl Gautier MS 39553-6027 | |
| (228) 218-9825 | |
| (228) 282-8578 |
| Full Name | Donna M Lewis Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1713 Old Spanish Trl, Gautier, Mississippi |
| Authorized Official Name and Position | Donna M Lewis (SOLE MEMBER) |
| Authorized Official Contact | 2282189825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna M Lewis Lcsw Pllc 1713 Old Spanish Trl Gautier MS 39553-6027 Ph: (228) 218-9825 | Donna M Lewis Lcsw Pllc 1713 Old Spanish Trl Gautier MS 39553-6027 Ph: (228) 218-9825 |
| NPI Number | 1114595485 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 06/14/2021 |
| Certification Date | 06/14/2021 |
| Medicare PECOS PAC ID | 5991107203 |
|---|---|
| Medicare Enrollment ID | O20210708003631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114595485 | NPI | - | NPPES |
| 4835868 | Other | CIGNA | |
| 04620559 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Donna M Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114176963 PECOS PAC ID: 6800964156 Enrollment ID: I20081014000303 |
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Singing River Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3407 Shamrock Ct, Gautier, MS 39553 Phone: 228-497-0690 Fax: 228-497-1363 | |
Singing River Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3407 Shamrock Ct, Gautier, MS 39553 Phone: 228-497-0690 Fax: 228-497-7604 | |
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