Active NPI
Kaitlyn Lewis, LCSW
- Clinical Social Worker
- Saratoga Springs, NY
National Provider Identifier
1053707752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 087192
- Practice address
- 60 Geyser Road
Saratoga Springs, NY 12866 - Phone
- (518) 268-2688
- NPI assigned
- Apr 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 091541-1 | NY | |
| Clinical Social Worker | 1041C0700X | 087192 | NY | Primary |
Addresses
Primary practice location
60 Geyser Road
Saratoga Springs, NY 12866
Mailing address
15 Garnsey Rd
Rexford, NY 12148
Phone (802) 289-3646
Other practice location 1
210 Ballston Ave
Ballston Spa, NY 12020
Phone (518) 410-1410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091541-1 | NY | MD | Social Worker |
| 087192 | NY | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1053707752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 GARNSEY RD",
"city": "REXFORD",
"state": "NY",
"postal_code": "12148",
"telephone_number": "802-289-3646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 GEYSER ROAD",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "12866",
"telephone_number": "518-268-2688"
}
],
"practiceLocations": [
{
"address_1": "210 Ballston Ave",
"address_purpose": "LOCATION",
"city": "Ballston Spa",
"state": "NY",
"postal_code": "12020",
"country_code": "US",
"telephone_number": "518-410-1410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "KAITLYN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "091541-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "087192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.