Individual provider · Type 1 NPI

Tracy Lewis, LCSW

Clinical Social Worker · Derby, CT

NPI number 1700296035 Active · reactivated Jul 10, 2018

Practice location

30 Elizabeth St
Derby, CT 06418-1869

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Social Worker	104100000X	None listed
Social Worker	104100000X	None listed
Clinical Social Worker Primary	1041C0700X	None listed

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 1700296035

Tracy Lewis, LCSW's National Provider Identifier is 1700296035, issued on May 8, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Derby, CT. The record was last updated on Jun 17, 2021.