Tracy Marie Lewis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0006994 Issued in CT

Practice address

925 Sullivan Ave
Unit 2
South Windsor, CT 06074-2025

Phone

(860) 432-7771

Fax

(860) 432-7774

NPI assigned

Aug 17, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Tracy Marie Roberts Former name

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Clearview Therapy, LLC.

  • Clinical Social Worker
  • South Windsor, CT
  • NPI 1144614074
  Medicare reassignment Authorized official
• Hartford Community Mental Health Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hartford, CT
  • NPI 1972592186
  NPD (past)
• Waire LLC

  • Psychiatry Physician
  • Ellington, CT
  • NPI 1871744243
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1093947657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 SULLIVAN AVE",
            "address_2": "UNIT 2",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742025",
            "telephone_number": "860-432-7771",
            "fax_number": "860-432-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SULLIVAN AVE",
            "address_2": "UNIT 2",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742025",
            "telephone_number": "860-432-7771",
            "fax_number": "860-432-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TRACY",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "0006994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008013935",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "ROBERTS",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jami Leits, CNM
• Beth A Lemek, PA-C
• Michelle Leone, MS, SLP-CCC
• Zachary Leone, PA-C
• Sarita J Lewis
• Samuel Li, DDS
• Linda S Mittenthal LCSW LLC
• Andrea Little, MD, MBA
• Raymond G London, MD
• Lydia Lormand, D.O.

• Clinical Social Worker in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.

Verify at the official NPI Registry.