Jennifer T Lewis, LMSW-C, LCSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801095878 Issued in MI

Practice address

21 N Main St
Mount Clemens, MI 48043-5613

Phone

(586) 840-8614

Fax

(586) 501-1664

NPI assigned

Nov 25, 2014

Last updated

Sep 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenniferlewis@tdh.allscriptsdirect.net

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.

• Guiding Light Counseling Services, PLLC

  • Clinical Social Worker
  • Mount Clemens, MI
  • NPI 1932704061
  NPD Authorized official
• JTLC Collective LLC

  • Clinical Social Worker
  • Miami, FL
  • NPI 1588537153
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1295132967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N MAIN ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435613",
            "telephone_number": "586-840-8614",
            "fax_number": "586-501-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N MAIN ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435613",
            "telephone_number": "586-840-8614",
            "fax_number": "586-501-1664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 NE 167th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331623401",
            "country_code": "US",
            "telephone_number": "586-840-8614",
            "fax_number": "586-501-1664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JENNIFER",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "LMSW-C, LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109508",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812945622",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Lee Lesausky, NP
• Leonie Mia Leslie, DO
• Elizabeth Renee Lester-Medado, M.S., PA-C
• Colby Ross Lester, DO
• Michelle Lewinski, PT
• Life Skills Centers, Inc.
• Natesh Lingam, MD
• Tysha Linnex
• Brian Michael Litch, DO
• Living Water Christian Counseling Center

• Clinical Social Worker in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.