MS. MAKAILA RAELYN LEWIS (NPI# 1164033395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164033395 |
Entity Type | Individual |
Full Name | MS. MAKAILA RAELYN LEWIS |
Practice Address |
1104 Healthway Dr Salisbury MD 21804-4469 |
Mailing Address |
Po Box 1978 Salisbury MD 21802-1978 |
Practice Telephone | 4102195483 |
Practice Fax Number | 4102195486 |
Mailing Telephone | 4107491015 |
Mailing Fax Number | 4107490654 |
Enumeration Date | 2020-08-12 |
Last Update Date | 2020-08-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 140897602 | 05 | |
MD | 140897600 | 05 | |
MD | 140897601 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
12145 Elm St, Princess Anne, MD 218531358 | 4106512204 | 4106510790 |
1813 Sweetbay Dr, Salisbury, MD 218041663 | 4102195483 | 4102195486 |
Street Address |
1104 HEALTHWAY DR |
City | SALISBURY |
State | MD |
Zip Code | 21804-4469 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659314565 | Mark Alan Shaffer | Social Worker | 1104 Healthway Dr, Salisbury, MD 21804-4469 | 2006-06-14 |
1871106567 | Michelle Banks Corbin | Social Worker | 1104 Healthway Dr, Salisbury, MD 21804-4469 | 2020-08-24 |
1649888132 | Justin Dirkson Pusey | Social Worker | 1104 Healthway Dr, Salisbury, MD 21804-4469 | 2020-07-21 |
1669036919 | Sujin Seville Lee | Counselor | 1104 Healthway Dr, Salisbury, MD 21804-4469 | 2019-04-23 |
1588131700 | Three Lower Counties Community Services, Inc. | Community/Behavioral Health | 1104 Healthway Dr, Salisbury, MD 21804-4469 | 2018-10-25 |
1912481086 | Megan Anne Fulton | Social Worker | 1104 Healthway Dr, Salisbury, MD 21804-4469 | 2018-09-24 |
1407330087 | Tammy Gayle Witzke | Counselor | 1104 Healthway Dr, Salisbury, MD 21804-4469 | 2018-09-20 |
1346720018 | Catherine Mary Sharkey | Social Worker | 1104 Healthway Dr, Salisbury, MD 21804-4469 | 2018-08-21 |
1881171510 | Kaitlyn Nicole Cook | Social Worker | 1104 Healthway Dr, Salisbury, MD 21804-4469 | 2018-07-25 |
1902315575 | Lisa Ann Phillips | Social Worker | 1104 Healthway Dr, Salisbury, MD 21804-4469 | 2017-09-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
Find all providers in zip 21804 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033682737 | Barbara Joyce Ruark | Counselor | 1113 Healthway Dr Apt 1c, Salisbury, MD 21804-4470 | 2019-01-04 |
1104207828 | Melissa Ledbetter | Counselor | 1701 Walker St, Salisbury, NC 28144-2548 | 2015-06-18 |
1851790505 | Donna Leffew | Counselor | 6322 Ayrshire Dr, Salisbury, MD 21801-2263 | 2014-08-19 |
1437561297 | Akeeyia Jefferson | Counselor | 1016 Cedar Village Trl, Salisbury, NC 28147-7294 | 2014-05-28 |
1083843908 | Angela Alford | Counselor | 1404 E Council St, Salisbury, NC 28146-4706 | 2009-07-13 |
1184822017 | Bethany Leah James | Counselor | 107 W. Cemetery St, Salisbury, NC 28144 | 2007-07-03 |
1215134861 | Leanna Thomson | Counselor | 704 W Highway 24, Salisbury, MO 65281-1621 | 2007-06-28 |
1922196567 | Megan Ruth Orr | Counselor | 1720 Hampshire Dr, Salisbury, NC 28146-7211 | 2006-10-10 |
1700823432 | Debra Suzanne Hullender | Counselor | 609 S Broadway, Salisbury, MO 65281 | 2006-06-01 |
1174120760 | Alexis Mcbean | Counselor | 1113 Healthway Dr, Salisbury, MD 21804-4470 | 2020-10-06 |
Find all providers in SALISBURY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.