Individual provider · Type 1 NPI
Kenyatta Lewis, LCSW
Clinical Social Worker · Jackson, MS
Practice location
3415 Rosemary Ave
Jackson, MS 39212-4153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | C11502 (MS) |
| Clinical Social Worker | 1041C0700X | LICSW1144174 (MA) |
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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- Ebony Thomas, LCSWClinical Social Worker Jackson, MS NPI 1013420702
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About NPI 1780263145
Kenyatta Lewis, LCSW's National Provider Identifier is 1780263145, issued on Apr 5, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MS. The record was last updated on Oct 27, 2026.