Lewis, Vanessa Stewart

Lewis, Vanessa Stewart is an individual health care provider with primary practice located at 824 Gum Branch Rd Suite A, Jacksonville NC 28540-6272. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lewis, Vanessa Stewart can be contacted via phone (910) 353-8255.

Contact Information

Primary practice address
824 Gum Branch Rd Suite A Jacksonville NC 28540-6272
Phone: (910) 353-8255
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X NCC004942 North Carolina

Profile Details

NPI number 1235339912
LBN Legal business name Lewis, Vanessa Stewart
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Jul 20th, 2007 - about 18 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 1235339912 NPPES
North Carolina MEDICAID WILL NEED TO OBTAIN

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