Individual provider · Type 1 NPI

Leah Marie Lewis, LICSW

Clinical Social Worker · Plymouth, MN

NPI number 1053973719 Active

Practice location

2855 Campus Dr Ste 660
Plymouth, MN 55441-2665

Fax (763) 577-7905

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Other practice locations

  • 63311 Jamison St, Bend, OR 97703-8288 · (541) 585-7210

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XL11238 (OR)
Clinical Social Worker Primary 1041C0700X35600 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1053973719

Leah Marie Lewis, LICSW's National Provider Identifier is 1053973719, issued on Jul 2, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Plymouth, MN. The record was last updated on Mar 24, 2026.