Active NPI
Leah Marie Lewis, LICSW
- Clinical Social Worker
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 35600
- Practice address
- 2855 Campus Dr Ste 660
Plymouth, MN 55441-2665 - Phone
- (763) 577-7900
- Fax
- (763) 577-7905
- NPI assigned
- Jul 2, 2019
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L11238 | OR | |
| Clinical Social Worker | 1041C0700X | 35600 | MN | Primary |
Addresses
Primary practice location
2855 Campus Dr Ste 660
Plymouth, MN 55441-2665
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000
Other practice location 1
63311 Jamison St
Bend, OR 97703-8288
Phone (541) 585-7210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 43
Minneapolis, MN 55440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35600 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Deschutes County Oregon | Current | Accepting new patients | |
| Deschutes County Oregon | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Deschutes County Oregon | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
Locations
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
800 E 28th St
Fl 6
Minneapolis, MN 55407
Phone (612) 863-5327
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
2855 Campus Dr
Ste 660
Plymouth, MN 55441
Phone (763) 577-7900
2577 NE Courtney Dr
Bend, OR 97701
Phone (541) 322-7400
63311 Jamison St
Bend, OR 97703
Phone (541) 332-7500
1128 NW Harriman St
Bend, OR 97703
Phone (541) 322-7457
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bend, OR
- NPI 1235172180
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Internal Medicine Physician
- New Ulm, MN
- NPI 1992748966
-
- State or Local Public Health Clinic/Center
- Bend, OR
- NPI 1023056017
-
- Health Educator
- Bend, OR
- NPI 1598323040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1053973719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 CAMPUS DR STE 660",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554412665",
"telephone_number": "763-577-7900",
"fax_number": "763-577-7905"
}
],
"practiceLocations": [
{
"address_1": "63311 Jamison St",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977038288",
"country_code": "US",
"telephone_number": "541-585-7210",
"fax_number": "541-322-7565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "LEAH",
"middle_name": "MARIE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-02",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L11238",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "35600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.