Active NPI
Vanessa Maria Lewis, LMSW
- Social Worker
- Taylor, MI
National Provider Identifier
1124049986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801058924
- Practice address
- 20600 Eureka
Taylor, MI 48180 - Phone
- (734) 285-8282
- Fax
- (734) 281-0402
- NPI assigned
- Jul 21, 2006
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801058924 | MI | Primary |
Addresses
Primary practice location
20600 Eureka
Taylor, MI 48180
Mailing address
24760 Arsenal
Flat Rock, MI 48134
Phone (734) 782-1641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801058924 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downriver Mental Health Clinic PC | Current | Accepting new patients |
Locations
1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787
20500 Eureka Rd
Ste 200
Taylor, MI 48180
Phone (734) 283-0500
Interoperability endpoints
- lifestancehealth.vanessalewis@150339.advancedmd-direct.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124049986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24760 ARSENAL",
"city": "FLAT ROCK",
"state": "MI",
"postal_code": "48134",
"telephone_number": "734-782-1641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20600 EUREKA",
"city": "TAYLOR",
"state": "MI",
"postal_code": "48180",
"telephone_number": "734-285-8282",
"fax_number": "734-281-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "VANESSA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801058924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.