Active NPI
Neva P Lewis, LCSW
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1083837207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6656354-3501
- Practice address
- 4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550 - Phone
- (888) 949-4864
- NPI assigned
- Apr 10, 2007
- 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 | PCSW-248 | WY | |
| Clinical Social Worker | 1041C0700X | 6656354-3501 | UT | Primary |
Addresses
Primary practice location
4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550
Mailing address
4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550
Phone (888) 949-4864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106662500 | Medicaid | WY |
Other names 1
- Neva P Pratt
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCSW-248 | WY | MD | Social Worker |
| 6656354-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Counseling Services | Past | Accepting new patients | |
| Pioneer Counseling Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Illness Community Based Residential Treatment Facility
- Evanston, WY
- NPI 1033954474
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Evanston, WY
- NPI 1093792095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1083837207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4460 S HIGHLAND DR STE 210",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841243550",
"telephone_number": "888-949-4864",
"fax_number": "307-789-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4460 S HIGHLAND DR STE 210",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841243550",
"telephone_number": "888-949-4864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "NEVA",
"middle_name": "P",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WY",
"license": "PCSW-248",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "6656354-3501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106662500",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NEVA",
"last_name": "PRATT",
"middle_name": "P",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.