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Contact Information

SHANA M BRUMFIELD LEWIS
126 N STREET DR
BROOKHAVEN, MS39601-2138
 Phone: 601-748-5005
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for SHANA M BRUMFIELD LEWIS · (Female)

NPI Number 1972362432
Status Active
Credentials
Entity Individual
Enumeration date 03/18/2024
Last updated 07/23/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 150116727
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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