Individual provider Active NPI

Tamera Katina Lewis, LMSW

  • Social Worker
  • Fort Worth, TX
National Provider Identifier
1184458226
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
113676 Issued in TX
Practice address
4200 South Fwy Ste 630
Fort Worth, TX 76115-1409
Phone
(940) 268-6359
NPI assigned
Aug 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 113676 TX Primary

Addresses

Primary practice location

4200 South Fwy Ste 630
Fort Worth, TX 76115-1409

Mailing address

4200 South Fwy Ste 630
Fort Worth, TX 76115-1409
Phone (940) 268-6359

Other practice location 1

3500 E McKinney St Apt 5112
Denton, TX 76209-7576
Phone (940) 268-6359

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
113676TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hhcss, LLC PastSince Sep 1, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1184458226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY STE 630",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151409",
            "telephone_number": "940-268-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY STE 630",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151409",
            "telephone_number": "940-268-6359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 E McKinney St Apt 5112",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762097576",
            "country_code": "US",
            "telephone_number": "940-268-6359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TAMERA",
        "middle_name": "KATINA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "113676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.