IndividualActive
Charles Lewis
NPI 1316304173 · Clinical Social Worker · Radcliff, KY
Provider details
- NPI number
- 1316304173
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 253567 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
111 N Woodland Dr
Ste B
Radcliff, KY 40160-2678
Phone: (270) 807-0533
Fax: (270) 801-0121
Approximate (ZIP-level) locationGet directions
Mailing address
111 N Woodland Dr
Radcliff, KY 40160-2678
Additional practice locations (1)
- 127 Medical Center DrRadcliff, KY 40160-8959Phone: (270) 348-4840
Registry dates
- Enumerated
- 2016-01-25
- Last updated
- 2020-12-30
- Certified
- 2020-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.