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

Leah Marie Lewis, LICSW

Individual provider Clinical Social Worker · NPI 1053973719

Leah Marie Lewis, LICSW is a Clinical Social Worker in Plymouth, Minnesota. Qualified in 2019, 7 years ago. Works from 2 locations. Licensed in Minnesota and Oregon.

Years since qualifying
7
Licensed in
MN, OR
In the registry since
2019
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

2855 Campus Dr Ste 660
Plymouth, MN 55441-2665
Phone: (763) 577-7900
Fax: (763) 577-7905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 63311 Jamison St, Bend, OR 97703-8288 — (541) 585-7210

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 35600 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence L11238 (OR)

Record details

NPI number1053973719
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 2, 2019
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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