Kimberly Lewis, LCSW, CSAC is a
Social Worker based in Winneconne, Wisconsin. Kimberly Lewis is licensed to practice in Wisconsin (license number 7377-123) and her current practice location is
140 W Main St Ste E, Winneconne, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 460-9814.
NPI number for Kimberly Lewis is 1972942175 and her current mailing address is 2400 S. Kensington Dr. Ste. 400, Appleton, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972942175.
Healthcare Provider's Profile
| Full Name | Kimberly Lewis |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 140 W Main St Ste E, Winneconne, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972942175
- Provider Enumeration Date: 06/20/2013
- Last Update Date: 10/20/2022
Medical Identifiers
Medical identifiers for Kimberly Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972942175 | NPI | - | NPPES |
| 100194005 | Other | | FORWARD HEALTH |
| 1972942175 | Medicaid | WI | |
| 100194005 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14548-132 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7377-123 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7377 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 7377-123 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Lewis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly Lewis, LCSW, CSAC
2400 S. Kensington Dr. Ste. 400,
Appleton, WI 54915-4186
Ph: (920) 659-0634 | Kimberly Lewis, LCSW, CSAC
140 W Main St Ste E,
Winneconne, WI 54986-9409
Ph: (920) 460-9814 |
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