Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole M Lewis, MS, CCC-SLP, TSSLD

Individual provider Speech-Language Pathologist · NPI 1013525229

Nicole M Lewis, MS, CCC-SLP, TSSLD is a Speech-Language Pathologist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

115 Emmet Ave
Staten Island, NY 10306-3851
Phone: (917) 718-3083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 030687 (NY)

Record details

NPI number1013525229
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP , TSSLD
Sole proprietorYes
NPI enumeratedJuly 14, 2020
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

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