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

Mr. Shelly Mark Lewin, LCSW

Individual provider Clinical Social Worker · NPI 1093551988

Mr. Shelly Mark Lewin, LCSW is a Clinical Social Worker in Santa Fe, New Mexico. Qualified in 1995, 31 years ago. Practices with Grow Healthcare Group PA, a 1,020-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
31
Licensed in
NM
In the registry since
2024
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

649 Harkle Rd Ste E
Santa Fe, NM 87505-4765
Phone: (505) 955-9454
Fax: (505) 216-9067
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SWB-2024-1008 (NM)

Record details

NPI number1093551988
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 1, 2024
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Grow Healthcare Group Pa — 1020 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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