Provider Demographics
NPI:1609660240
Name:LEWIS, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:LEWIS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7021 HAYCOCK RD APT F
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2317
Mailing Address - Country:US
Mailing Address - Phone:703-850-0374
Mailing Address - Fax:
Practice Address - Street 1:420 SE 6TH AVE STE 2001
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66607-1181
Practice Address - Country:US
Practice Address - Phone:703-850-0374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09030044631041C0700X
NJ44SL071375001041C0700X
KS140641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical