Alison Lewis, LCSW, LLC
Organization Active NPI Clinical Social Worker · Manchester, CT
NPI 1487033528 · NPPES record last updated May 21, 2015
Key facts
- NPI
- 1487033528
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 008906 (CT)
- Legal business name
- ALISON LEWIS, LCSW, LLC
- Practice address
- 357 E Center St
Manchester, CT 06040-4472 - Phone
- (860) 490-5157
- Fax
- (860) 498-1237
- NPI assigned
- May 21, 2015
- Organization subpart
- No
Authorized official
- Name
- Alison KS Lewis, LCSW
- Title
- Owner/Member
- Phone
- (860) 490-5157
Practitioners 2
-
Alison Kate Sefton Lewis, LCSW
-
Gloria Carlson, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160310000299 | CT | Part B Supplier - Clinic/Group Practice | 8628374162 |
Receives reassigned benefits from 1 practitioner Practice locations: Tolland, CT |
National Provider Directory
Locations
357 E Center St
Ste 2
Manchester, CT 06040
Phone (860) 490-5157
129 Tolland Stage Rd
Ste 2
Tolland, CT 06084
Phone (860) 490-5157
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 008906 | CT | Yes |
Addresses
Primary practice location
357 E Center St
Manchester, CT 06040-4472
Mailing address
PO Box 23
Andover, CT 06232-0023
Phone (860) 490-5157
Other providers in Manchester, CT
- Ali Shakibai, MD, LLC
- Zonia Ali
- Alicia Stanton MD, PA
- Jessica Aligata
- Align Dental of Manchester PC
- Charley Allen
- Melissa L Allen
- Venessa T Allen
- Ashlie Alleyne
- Allison Tardif Counseling Services LLC
All providers in Manchester, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.