Angela K Lewis-Dmello, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20463 Issued in MN

Practice address

649 Dayton Ave
Saint Paul, MN 55104-6631

Phone

(612) 436-4840

Fax

(612) 436-2604

NPI assigned

Jun 20, 2013

Sex

Female

Sole proprietor

No

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)

Enrolled

Practice roles

Locations

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.

• Cornerhouse Interagency Child Abuse Evaluation Center

  dba CornerHouse

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1760974323
  NPD Authorized official
• Northeast Youth & Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shoreview, MN
  • NPI 1639275852
  NPD Authorized official
• Northeast Youth & Family Services

  • Community Health Clinic/Center
  • White Bear Lake, MN
  • NPI 1073098810
  NPD

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1174962351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 DAYTON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046631",
            "telephone_number": "612-436-4840",
            "fax_number": "612-436-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 DAYTON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046631",
            "telephone_number": "612-436-4840",
            "fax_number": "612-436-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-DMELLO",
        "first_name": "ANGELA",
        "middle_name": "K",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Levine, MD
• Carolyn J Levitt, MD
• Whitney Lynn Lewandowski, MD
• Larry Todd Lewer, LP
• Lewis Chiropractic Health Center, P.a.
• Alexis Ceirra Lewis
• Amy Beth Lewis, LICSW, MSSW
• Ana Lewis
• Belinda S Lewis, MA-CCC-SLP
• Cameron Lewis

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.