Lewis, Jennifer Elizabeth

Lewis, Jennifer Elizabeth is an sole proprietor health care provider with primary practice located at 410 State St Room 9, North Haven CT 06473-3147. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lewis, Jennifer Elizabeth can be contacted via phone (203) 525-7833.

Contact Information

Primary practice address
410 State St Room 9 North Haven CT 06473-3147
Phone: (203) 525-7833
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 008280 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1548503139
LBN Legal business name Lewis, Jennifer Elizabeth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2013
Last updated Mar 4th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548503139 NPPES
Connecticut MEDICAID 1548503139 NPI

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