Individual
TAYLOR J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
350 LANGDON STREET, SOMERSET, KY 42503
(606) 678-8155
(866) 435-1087
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256566
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15539556
CAQH
—
05
—
7100804880
—
KY
Enumeration date
03/31/2022
Last updated
06/16/2023
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