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Logan Lewis, LMSW

NPI 1780953893 · on the registry since 2011 · sole proprietor

Practice

Address
17515 Rockaway Blvd
Jamaica, NY 11434
Phone
(718) 632-3275
Fax
(718) 632-1568
Organisation at this address
Camelot Of Staten Island Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
Social Worker
104100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-12-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York