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Individual
LEWIS R MIKESELL
Active
Individual
LEWIS R MIKESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000182
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
258045
ANTHEM PROVIDER NUMBER
VA
01
—
A080974M
SENTARA HMO VETRI SYSTEMS
VA
Enumeration date
05/12/2006
Last updated
06/25/2026
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