Organization
WENDY LEWIS LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY LEWIS (LCSW)
(207) 939-9544
Entity
Organization
Contact information
Practice address
145 NEWBURY ST STE 1, PORTLAND, ME 04101-4261
(207) 939-9544
Mailing address
145 NEWBURY ST STE 1, PORTLAND, ME 04101-4261
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6386
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
544223000
MAGELLAN PROVIDER ID
—
Enumeration date
05/18/2017
Last updated
07/03/2019
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