Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenyatta Lewis, LCSW

Individual provider Social Worker · NPI 1780263145

Kenyatta Lewis, LCSW is a Social Worker in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2021.

Licensed in
MS
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3415 Rosemary Ave
Jackson, MS 39212-4153
Phone: (601) 918-8712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence C11502 (MS)

Record details

NPI number1780263145
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

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