Beverley Charmaine Phillips-Lewis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006116 Issued in CT

Practice address

1 Bradley Rd
Suite 905
Woodbridge, CT 06525-2285

Phone

(203) 298-9005

Fax

(203) 298-9006

NPI assigned

Oct 9, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Beverley Charmaine Phillips-Lewis Other name

Medicare fee-for-service enrollment

Enrolled in CT

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

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Serenity Counseling LLC

  • Clinical Social Worker
  • Woodbridge, CT
  • NPI 1386197010
  Medicare reassignment NPD Authorized official
• Connecticut Psychiatric & Wellness Center

  • Community/Behavioral Health Agency
  • Woodbridge, CT
  • NPI 1174902084
  NPD (past)

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1265784607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HOBSON AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142506",
            "telephone_number": "203-843-0162",
            "fax_number": "848-210-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRADLEY RD",
            "address_2": "SUITE 905",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252285",
            "telephone_number": "203-298-9005",
            "fax_number": "203-298-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS-LEWIS",
        "first_name": "BEVERLEY",
        "middle_name": "CHARMAINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLEY",
            "last_name": "PHILLIPS-LEWIS",
            "middle_name": "CHARMAINE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dinesh R Perera, LMFT
• Personal Care Training LLC
• Pervis Enterprise LLC
• Brian Pervis, APRN
• Aimee Petremont, BCBA
• Larissa Ann Phillips, OTR/L
• Taylor Piacentini
• Lesley May Pincince, PT
• Briana Pivarnik
• Jessica Plouffe, PSY.D.

• Clinical Social Worker in Woodbridge, CT
• Providers in Woodbridge, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.