Individual provider Active NPI

Craijetta E Lewis, LCSW

  • Psychoanalyst
  • Richmond, VA
National Provider Identifier
1245682145
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
0904009511 Issued in VA
Practice address
2132 Bromby St
Richmond, VA 23231-1921
Phone
(804) 221-0003
NPI assigned
Jul 5, 2016
Last updated
Jul 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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 0904009511 VA
Psychoanalyst 102L00000X 0904009511 VA Primary

Addresses

Primary practice location

2132 Bromby St
Richmond, VA 23231-1921

Mailing address

2132 Bromby St
Richmond, VA 23231-1921
Phone (804) 221-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20171004000362 VA Practitioner - Clinical Social Worker 9335414192 Practice locations: Richmond, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4794 Finlay St
Suite 2
Richmond, VA 23231-2779
Phone (804) 221-0003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904009511VAMDPsychoanalyst

Practice roles

OrganizationSpecialtyStatusNew patients
Family Solutions, Inc Clinical CurrentSince Nov 17, 2019 Accepting new patients
C.E. Lewis & Associates, LLC Clinical CurrentSince Jul 10, 2017 Accepting new patients

Organizations & group practices 2

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": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1245682145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 BROMBY ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232311921",
            "telephone_number": "804-221-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 BROMBY ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232311921",
            "telephone_number": "804-221-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CRAIJETTA",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009511",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "VA",
            "license": "0904009511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.