Lewis, Nicole

Lewis, Nicole is an individual health care provider with primary practice located at 2901 N Herritage St , Kinston NC 28501-1581. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lewis, Nicole can be contacted via phone (252) 233-2383.

Contact Information

Primary practice address
2901 N Herritage St Kinston NC 28501-1581
Phone: (252) 233-2383
Fax: (252) 523-3148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005322 North Carolina

Profile Details

NPI number 1225149958
LBN Legal business name Lewis, Nicole
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 20th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225149958 NPPES
North Carolina MEDICAID 6106492
North Carolina Other Q37795A

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