Individual
AMANDA ATKINSON-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
52 COVE ST, PORTLAND, ME 04101-2514
(207) 776-0597
Mailing address
18 BANCROFT ST, PORTLAND, ME 04102-2006
(207) 776-0597
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC12311
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098312
ANTHEM
—
05
—
432703499
—
ME
05
—
432723599
—
ME
Enumeration date
10/05/2007
Last updated
01/31/2022
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