Donna M Mince-Lewis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS15374 Issued in CA

Practice address

923 Adelaine Ave
South Pasadena, CA 91030-3001

Phone

(626) 799-8664

NPI assigned

Sep 7, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1114112679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 ADELAINE AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303001",
            "telephone_number": "626-799-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 ADELAINE AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303001",
            "telephone_number": "626-799-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCE-LEWIS",
        "first_name": "DONNA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS15374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Sofia Miranda Ramirez
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• Jacinda Mitchell, LMFT
• Roy Isamu Miyashiro, PHARM D

• Clinical Social Worker in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.