Amanda M Lewis Professional LLC

Organization Active NPI Clinical Social Worker · Billings, MT

NPI 1497073779 · NPPES record last updated Feb 9, 2022

Key facts

NPI
1497073779
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
License
930 (MT)
Legal business name
AMANDA M LEWIS PROFESSIONAL LLC
Practice address
304 Grand Ave
Billings, MT 59101-5923
Phone
(406) 671-8567
Fax
(888) 516-4496
NPI assigned
May 11, 2010
Organization subpart
No

Authorized official

Name
Amanda M Lewis, LCSW
Title
Owner
Phone
(406) 671-8567

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20101015000435 MT Part B Supplier - Clinic/Group Practice 2365635927 Receives reassigned benefits from 1 practitioner
Practice locations: Billings, MT

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X 930 MT Yes

Addresses

Primary practice location

304 Grand Ave
Billings, MT 59101-5923

Mailing address

PO Box 443
Joliet, MT 59041-0443
Phone (406) 671-8567

Other names

  • Rock Creek Associates Doing business as

Other providers in Billings, MT

All providers in Billings, MT · Clinical Social Worker in Montana

Sources for this page

Verify at the official NPI Registry.