Active NPI
Jeff A Lewis, LSCSW
- Clinical Social Worker
- Lawrence, KS
National Provider Identifier
1154518306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2062
- Practice address
- 1012 Massachusetts St
Suite 202
Lawrence, KS 66044-2922 - Phone
- (785) 979-2109
- NPI assigned
- Oct 2, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2062 | KS | Primary |
Addresses
Primary practice location
1012 Massachusetts St
Suite 202
Lawrence, KS 66044-2922
Mailing address
1012 Massachusetts St
Suite 202
Lawrence, KS 66044-2922
Phone (785) 979-2109
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 |
|---|---|---|---|
| 2062 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Solutions Biofeedback and Counseling Services, LLC | Clinical | Past | Accepting new patients |
| Professional Renewal Center PA | Clinical | 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 and National Provider Directory roles.
-
- Clinical Social Worker
- Lawrence, KS
- NPI 1184811333
Clinical
-
- Cognitive & Behavioral Psychologist
- Lawrence, KS
- NPI 1629220389
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1154518306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 MASSACHUSETTS ST",
"address_2": "SUITE 202",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660442922",
"telephone_number": "785-979-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 MASSACHUSETTS ST",
"address_2": "SUITE 202",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660442922",
"telephone_number": "785-979-2109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JEFF",
"middle_name": "A",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-02",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "2062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.