Lewis a. Fabrick, PHD, PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW560 Issued in FL

Legal business name

LEWIS A. FABRICK, PHD, PA

Practice address

2833 NW 41St St Ste 140
Gainesville, FL 32606-6987

Phone

(352) 338-0397

Fax

(352) 372-6787

NPI assigned

Apr 13, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lewis A. Fabrick, PHDNPI 1932108990

Title

Owner

Phone

(352) 338-0397

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 8

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

• Lewis A Fabrick, PHD, PA

  • Clinical Social Worker
  • Gainesville, FL
  • NPI 1932108990
  Medicare reassignment NPD Authorized official
• Bonnie B Baker, LMHC

  • Mental Health Counselor
  • Gainesville, FL
  • NPI 1871696294
  NPD (past)
• Megan L Beveridge, LCSW

  • Clinical Social Worker
  • Gainesville, FL
  • NPI 1396992640
  NPD (past)
• Patricia Goodrich, LCSW

  • Professional Counselor
  • Gainesville, FL
  • NPI 1699154849
  NPD (past)
• Moskula Monica Kypreos, LMFT

  • Marriage & Family Therapist
  • Tampa, FL
  • NPI 1558883017
  NPD (past)
• Jennifer J. Macewan, ED.S., LMHC

  • Mental Health Counselor
  • Gainesville, FL
  • NPI 1255576120
  NPD (past)
• Cynthia Jane White, MD

  • Psychiatry Physician
  • Gainesville, FL
  • NPI 1871586032
  NPD (past)
• Tawanna Kay Frazier Lumpkins, PHD LMHC LPC

  • Mental Health Counselor
  • Winston, GA
  • NPI 1427338532
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1508252867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 NW 41ST ST STE 140",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066987",
            "telephone_number": "352-338-0397",
            "fax_number": "352-372-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 NW 41ST ST STE 140",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066987",
            "telephone_number": "352-338-0397",
            "fax_number": "352-372-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS A. FABRICK, PHD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "FABRICK",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-338-0397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z0973A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z0937",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monika Lewandowska
• Kristen Michelle Lewandowski, MA, CCC-SLP
• Claire Alexis Lewellen, APRN
• Stephen Thomas Lewerenz
• Heather G Lewin, ARNP
• Adrian P Lewis, M.D.
• Alexandra Mary Lewis, APRN
• Antonio Bruce Lewis
• Audrey Lewis
• Carol Lewis, PHD

• Clinical Social Worker in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.