Individual provider Active NPI

Jennifer Lewis, LMSW

  • Clinical Social Worker
  • Dearborn, MI
National Provider Identifier
1215052444
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085155 Issued in MI
Practice address
3728 Katherine St
Dearborn, MI 48124-3650
Phone
(313) 389-6390
NPI assigned
Mar 20, 2007
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801085155 MI Primary

Addresses

Primary practice location

3728 Katherine St
Dearborn, MI 48124-3650

Mailing address

3728 Katherine St
Dearborn, MI 48124-3650
Phone (313) 334-1387

Other practice location 1

35505 Schoolcraft
Livonia, MI 48150
Phone (734) 721-0200 ext. 216

Other practice location 2

14799 Dix Toledo Rd
Southgate, MI 48195-2507
Phone (734) 324-8326 ext. 471

Other practice location 3

23995 Novi Rd Ste C101
Novi, MI 48375-5439
Phone (517) 367-0670

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150625002147 MI Practitioner - Clinical Social Worker 4688985047 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DBT Institute of MiGroup PAC ID 9537448774, 12 clinicians

Practice addresses (Care Compare)

2950 W Howell Rd
Mason, MI 48854-9329
Phone (517) 367-0670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801085155MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hegira Health, Inc Social Worker CurrentSince Oct 22, 2018 Accepting new patients
Team Mental Health Services Inc. CurrentSince May 20, 2015 Accepting new patients
Transcending Hope Institute LLC CurrentSince Jul 1, 2020 Accepting new patients
Hegira Health, Inc. CurrentSince Oct 22, 2018 Accepting new patients
Team Wellness Center CurrentSince May 20, 2015 Accepting new patients
DBT Center of Michigan, PLLC PastSince Dec 23, 2020 Accepting new patients
DBT Institute of Mi PastSince May 12, 2024 Accepting new patients

Locations

290 Town Center Dr
Ste 400
Dearborn, MI 48126
Phone (248) 763-5289

2925 Russell St
Detroit, MI 48207
Phone (313) 462-4714

33505 Schoolcraft Rd
Ste 3
Livonia, MI 48150
Phone (734) 721-0200

37450 Schoolcraft Rd
Ste 110
Livonia, MI 48150
Phone (734) 458-4611

14703 Allen Rd
Ste 108
Southgate, MI 48195
Phone (734) 444-2379

14799 Dix Toledo Rd
Southgate, MI 48195
Phone (888) 813-8326

8623 N Wayne Rd
Ste 123
Westland, MI 48185
Phone (734) 367-0469

Organizations & group practices 8

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1215052444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 KATHERINE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243650",
            "telephone_number": "313-334-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 KATHERINE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243650",
            "telephone_number": "313-389-6390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35505 Schoolcraft",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "48150",
            "country_code": "US",
            "telephone_number": "734-721-0200 x216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14799 Dix Toledo Rd",
            "address_purpose": "LOCATION",
            "city": "Southgate",
            "state": "MI",
            "postal_code": "481952507",
            "country_code": "US",
            "telephone_number": "734-324-8326 x471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23995 Novi Rd Ste C101",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483755439",
            "country_code": "US",
            "telephone_number": "517-367-0670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-07-26",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.