Individual provider Active NPI

Erin Elise Johnson Lewis, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1285914408
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007352 Issued in NC
Practice address
4205 Wood Valley Dr
Raleigh, NC 27613-6319
Phone
(907) 223-1519
NPI assigned
Aug 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C007352 NC Primary

Addresses

Primary practice location

4205 Wood Valley Dr
Raleigh, NC 27613-6319

Mailing address

4205 Wood Valley Dr
Raleigh, NC 27613-6319
Phone (907) 223-1519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20171012002164 NC Practitioner - Clinical Social Worker 9830464114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Washington University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

249 E NC Hwy 54
Suite 320
Durham, NC 27713-2490
Phone (919) 753-1080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
B & D Integrated Health Services CurrentSince Aug 6, 2017 Accepting new patients
B & D Integrated Health Services Clinical CurrentSince Aug 6, 2017 Accepting new patients

Locations

249 E NC Highway 54
Ste 320
Durham, NC 27713
Phone (919) 753-1080

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: erin.lewis.p1@direct.bdihs.nextgenshare.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1285914408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 WOOD VALLEY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136319",
            "telephone_number": "907-223-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 WOOD VALLEY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136319",
            "telephone_number": "907-223-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ERIN",
        "middle_name": "ELISE JOHNSON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.