Provider Demographics
NPI:1033917364
Name:LEWIS, VALARIE (MSW, LSW)
Entity type:Individual
Prefix:
First Name:VALARIE
Middle Name:
Last Name:LEWIS
Suffix:
Gender:
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 HUNTERS GRN
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-7227
Mailing Address - Country:US
Mailing Address - Phone:812-868-7205
Mailing Address - Fax:
Practice Address - Street 1:330 HUNTERS GRN
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47711-7227
Practice Address - Country:US
Practice Address - Phone:812-868-7205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33007230A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty