Individual provider Active NPI

Margo Leona Lewis-Jah, PH.D, LCSW, M.ED, MO

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1245632124
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001415 Issued in DE
Practice address
301 Old Dupont Rd Ste a
Wilmington, DE 19804-1084
Phone
(302) 503-2273
Fax
(302) 351-6830
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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 CW018714 PA
Clinical Social Worker 1041C0700X Q1-0001415 DE Primary

Addresses

Primary practice location

301 Old Dupont Rd Ste a
Wilmington, DE 19804-1084

Mailing address

237 Dumont Rd
Wilmington, DE 19804-1001
Phone (610) 800-9524

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
Credentials
Master of Education, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
Q1-0001415DEMDClinical Social Worker
CW018714PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Consultants & Psychotherapy Practice Clinical Current Accepting new patients

Locations

301 Old DuPont Rd
Ste A
Wilmington, DE 19804
Phone (302) 503-2273

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": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1245632124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 DUMONT RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198041001",
            "telephone_number": "610-800-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OLD DUPONT RD STE A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198041084",
            "telephone_number": "302-503-2273",
            "fax_number": "302-351-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-JAH",
        "first_name": "MARGO",
        "middle_name": "LEONA",
        "name_prefix": "Mrs.",
        "credential": "PH.D, LCSW, M.ED, MO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018714",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.