Individual provider Active NPI

Jonathan James Lewis, CSW

  • Clinical Social Worker
  • Cortez, CO
National Provider Identifier
1235303991
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09924587 Issued in CO
Practice address
691 E Empire St
Cortez, CO 81321-2802
Phone
(970) 565-7946
NPI assigned
Apr 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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 CSW.09924587 CO Primary
Clinical Social Worker 1041C0700X 6801082270 MI

Addresses

Primary practice location

691 E Empire St
Cortez, CO 81321-2802

Mailing address

150 Mercury Village Dr
Durango, CO 81301-8955
Phone (979) 355-2422

Other practice location 1

Highway 163
Kayenta Health Center
Kayenta, AZ 86033
Phone (928) 697-4185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220913004216 CO Practitioner - Clinical Social Worker 0749503720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801082270MIMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: jonathan.lewis.p1@direct.ahs.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1235303991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MERCURY VILLAGE DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018955",
            "telephone_number": "979-355-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 E EMPIRE ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212802",
            "telephone_number": "970-565-7946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Highway 163",
            "address_2": "Kayenta Health Center",
            "address_purpose": "LOCATION",
            "city": "Kayenta",
            "state": "AZ",
            "postal_code": "86033",
            "country_code": "US",
            "telephone_number": "928-697-4185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JONATHAN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924587",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082270",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

Verify at the official NPI Registry.