Amanda Atkinson-Lewis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC12311 Issued in ME

Practice address

52 Cove St
Portland, ME 04101-2514

Phone

(207) 776-0597

NPI assigned

Oct 5, 2007

Last updated

Jan 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1750579645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BANCROFT ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022006",
            "telephone_number": "207-776-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 COVE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012514",
            "telephone_number": "207-776-0597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Bancroft St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041022006",
            "country_code": "US",
            "telephone_number": "207-776-0597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATKINSON-LEWIS",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC12311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "098312",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432703499",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432723599",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elanda Isabella Mariquita Atencio, LMSW-CC
• Madeline Carol Athey, DO
• Catalina Y Atienza, DMD
• Michelle Atienza
• Maria A Atkins, D.O.
• Cynthia A. Atkinson, MD
• Atlantic Chiropractic Limited Liability Company
• Atlantic Community Support LLC
• Atlantic Foot & Ankle Center
• Atlantic Home Care, LLC

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.