| Nadine Lewis Counseling, Llc | |
|
1218 N Division Ave Sandpoint ID 83864-5054 | |
| (419) 615-7861 | |
| Not Available |
| Full Name | Nadine Lewis Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1218 N Division Ave, Sandpoint, Idaho |
| Authorized Official Name and Position | Nadine Marie Lewis (CLINICAL THERAPIST) |
| Authorized Official Contact | 4196157861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nadine Lewis Counseling, Llc Po Box 2186 Sandpoint ID 83864-0909 Ph: (419) 615-7861 | Nadine Lewis Counseling, Llc 1218 N Division Ave Sandpoint ID 83864-5054 Ph: (419) 615-7861 |
| NPI Number | 1508621335 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Medicare PECOS PAC ID | 2769822501 |
|---|---|
| Medicare Enrollment ID | O20240426002975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508621335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nadine Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912480153 PECOS PAC ID: 9032589221 Enrollment ID: I20230104001840 |
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