Dale Lewis

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801109884 Issued in MI

Practice address

1375 R Dale Wertz Dr
Bad Axe, MI 48413-1365

Phone

(989) 269-9293

Fax

(989) 269-7544

NPI assigned

May 26, 2021

Sex

Male

Sole proprietor

Yes

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

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

Specialty

Clinical Social Worker

Education

Wayne State University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeshore Therapy PLLCGroup PAC ID 9133347354, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Lakeshore Therapy PLLC

  • Clinical Social Worker
  • Sandusky, MI
  • NPI 1699180901

  MI

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1235704792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 R DALE WERTZ DR",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131365",
            "telephone_number": "989-269-9293",
            "fax_number": "989-269-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 R DALE WERTZ DR",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131365",
            "telephone_number": "989-269-9293",
            "fax_number": "989-269-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DALE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801109884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lemke, BSW LLBSW
• Chloe Leppek
• Brooklyn Leslie, PT, DPT
• Kaley Letcher
• Lisa Lewis-Michalski
• John C Liao, MD
• Jessica Ann Licht, D.D.S.
• Jason Liggett
• Karen Link, M.A. LLPC
• List Psychological Services, PLC

• All providers in Bad Axe, MI
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.