Individual
PHILLIP JOSHUA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(202) 427-8851
(202) 929-2833
Mailing address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(202) 427-8851
(202) 929-2833
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
58760
TX
104100000X
Social Worker
X-086000
NM
1041C0700X
Clinical Social Worker
149.017156
IL
1041C0700X
Clinical Social Worker
Primary
LC50082423
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790192847
—
NM
Enumeration date
07/28/2014
Last updated
04/22/2020
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