Individual
LISA MCCONNELL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6801 GRAY RD # A1, INDIANAPOLIS, IN 46237-3263
(317) 512-1098
Mailing address
2337 SADDLE DR, SHELBYVILLE, IN 46176-8434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004000A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000708739
ANTHEM
IN
01
—
000000849669
ANTHEM BCBS
IN
Enumeration date
04/08/2008
Last updated
01/28/2019
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