SAMARIA M LEWIS (NPI# 1104486042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104486042 |
| Entity Type | Individual |
| Full Name | SAMARIA M LEWIS |
| Practice Address |
20 W Bank St Petersburg VA 23803-3279 |
| Mailing Address |
4121 Cameron Rd Hopewell VA 23860-1670 |
| Practice Telephone | 8044693746 |
| Practice Fax Number | 8044639842 |
| Mailing Telephone | 4343781306 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0701007745 | VA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
0701007745 | VA | Behavioral Health & Social Service Providers |
| Street Address |
20 W BANK ST |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23803-3279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225094451 | District 19 Community Services Board | Early Intervention Provider Agency | 20 W Bank St, Suite 2, Petersburg, VA 23803-3279 | 2006-04-25 |
| 1871190272 | Angel Howard | Social Worker | 20 W Bank St, Petersburg, VA 23803-3279 | 2020-10-08 |
| 1174135461 | Samuel J Northington Jr. | Counselor | 20 W Bank St, Petersburg, VA 23803-3279 | 2020-08-19 |
| 1346868767 | Jasmine Griffin | Counselor | 20 W Bank St, Petersburg, VA 23803-3279 | 2020-07-13 |
| 1730658154 | Deatrice Delk | Counselor | 20 W Bank St, Petersburg, VA 23803-3279 | 2018-11-14 |
| 1770059271 | Andrei Rodin | Counselor | 20 W Bank St, Petersburg, VA 23803-3279 | 2018-10-23 |
| 1174008619 | Ronald Smith Jr. | Counselor | 20 W Bank St, Petersburg, VA 23803-3279 | 2018-10-01 |
| 1619471448 | Torri Latrice White | Counselor | 20 W Bank St, Petersburg, VA 23803-3279 | 2018-03-19 |
| 1780184358 | Ronda Lynn Tate | Counselor | 20 W Bank St, Petersburg, VA 23803-3279 | 2018-02-20 |
| 1699280503 | Terrelle N Stewart | Counselor | 20 W Bank St, Petersburg, VA 23803-3279 | 2017-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
| 1386101699 | Marliqua Barnes | Driver | 601 Carter St, Petersburg, VA 23803 | 2019-02-22 |
| 1356596571 | Quality Healthcare Inc | Community/Behavioral Health | 6111 Duncan Rd, Ste F, Petersburg, VA 23803 | 2008-12-02 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1841333721 | Family Preservation Services, Inc | Community/Behavioral Health | 1000 Patterson Ave, Petersburg, VA 23803 | 2007-02-14 |
| 1154473155 | Progressive Adult Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 114 North Union Street, Suite B, Petersburg, VA 23803 | 2007-01-18 |
| 1861556615 | Evelyn V. Whitehead | Counselor | 115 E Wythe St, Petersburg, VA 23803 | 2006-12-19 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1396842282 | Eugene Arthur Richardson IIi | Dentist | 23 Shore Street, Petersburg, VA 23803 | 2006-09-20 |
| 1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
| Find all providers in zip 23803 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679195895 | Edgewood Group Family Services | Counselor | 135 S Adams St, Petersburg, VA 23803-4526 | 2020-05-11 |
| 1861055337 | Ashley Kawashima | Counselor | 100 Fram St., Petersburg, AK 99833 | 2019-04-19 |
| 1669983656 | Natocha E. Lyons X | Counselor | 202 2nd & Gjoa, Petersburg, AK 99833-0206 | 2017-10-17 |
| 1497273189 | Richard Justin Flick | Counselor | 14147 Russel Drive, Petersburg, OH 44454 | 2017-09-02 |
| 1144621376 | Daniel Dashner | Counselor | 201 North Nordic, Petersburg, AK 99833-1309 | 2014-09-08 |
| 1942479381 | Coretha Marie Claiborn | Counselor | 700 S. Sycamore Street, Suite 6, Petersburg, VA 23234 | 2008-02-29 |
| 1174690309 | Petersburg Mental Health Services, Inc. | Counselor | 201 North Nordic Drive, Petersburg, AK 99833-1309 | 2006-11-30 |
| 1003415886 | Titoni Levon Crenshaw | Counselor | 2825 S Crater Rd, Petersburg, VA 23805-2473 | 2020-10-22 |
| 1841725926 | Envision One, LLC, Arts | Counselor | 15 Goodrich Ave, Petersburg, VA 23805-2119 | 2017-04-26 |
| 1366982936 | Arsheia Jones | Counselor | 20 E Tabb St, Suite 100, Petersburg, VA 23803-4541 | 2017-03-02 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23803 |
Please comment or provide details below to improve the information on SAMARIA M LEWIS.
| 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.