Provider Demographics
NPI:1073321873
Name:LEWIS, UNIQUA DENISA (LCSW)
Entity type:Individual
Prefix:
First Name:UNIQUA
Middle Name:DENISA
Last Name:LEWIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6107 SPRINGFORD DR APT R3
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-4955
Mailing Address - Country:US
Mailing Address - Phone:717-592-9265
Mailing Address - Fax:
Practice Address - Street 1:6107 SPRINGFORD DR APT R3
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-4955
Practice Address - Country:US
Practice Address - Phone:717-592-9265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0243011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical