Individual provider Active NPI

Genevieve Ladawn Lewis

  • Social Worker
  • Lynwood, CA
National Provider Identifier
1144046251
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ASW109229 Issued in CA
Practice address
3680 E. Imperial Hwy
Suite 220- 240
Lynwood, CA 90262-2663
Phone
(323) 769-7174
NPI assigned
Nov 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 109229 CA
Social Worker 104100000X ASW109229 CA Primary

Addresses

Primary practice location

3680 E. Imperial Hwy
Suite 220- 240
Lynwood, CA 90262-2663

Mailing address

3680 E. Imperial Hwy
Suite 220- 240
Lynwood, CA 90262-2663
Phone (323) 769-7174

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW109229CAMDSocial Worker
109229CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Clinics PastSince Jan 5, 2025 Accepting new patients
Southern California Health & Rehabilitation Program PastSince Dec 1, 2024 Accepting new patients
Pacific Clinics PastSince Jan 5, 2025 Accepting new patients
Southern California Health & Rehabilitation Program PastSince Dec 1, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/scharpca/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1144046251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 E. IMPERIAL HWY",
            "address_2": "SUITE 220- 240",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622663",
            "telephone_number": "323-769-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 E. IMPERIAL HWY",
            "address_2": "SUITE 220- 240",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622663",
            "telephone_number": "323-769-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GENEVIEVE",
        "middle_name": "LADAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "109229",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW109229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.