Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kellie McDougall Lewis, LISW-CP, CAC-AD

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1265421937

Kellie McDougall Lewis, LISW-CP, CAC-AD is a Clinical Social Worker in Myrtle Beach, South Carolina. Qualified in 2001, 25 years ago. Practices with Real Counseling LLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland and South Carolina.

Years since qualifying
25
Licensed in
MD, SC
In the registry since
2005
Specialties on file
3
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Practice location Address checks out

9403 Highway 707 Ste B
Myrtle Beach, SC 29588-7758
Phone: (843) 273-0077
Fax: (843) 273-0075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10157 (SC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence AC0396 (MD)
Clinical Social Worker Taxonomy 1041C0700X · Licence 14474 (MD)

Record details

NPI number1265421937
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-CP , CAC-AD
Sole proprietorYes
NPI enumeratedOctober 17, 2005
Last updated in NPPESJanuary 31, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Real Counseling Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Myrtle Beach