Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Kimberley Ann Lewis, LCSW-R

Individual provider Clinical Social Worker · NPI 1811254238

MS. Kimberley Ann Lewis, LCSW-R is a Clinical Social Worker in Staten Island, New York. Qualified in 2008, 18 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
18
Licensed in
NJ, NY
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1885 Hylan Blvd # 1275
Staten Island, NY 10305-2110
Phone: (929) 724-3878
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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 080095 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 44SC05794800 (NJ)

Record details

NPI number1811254238
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedApril 23, 2012
Last updated in NPPESJune 29, 2023
Certification dateJune 14, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Staten Island