Active NPI
Jessica Lewis, LCSW
- Clinical Social Worker
- Fairfield, CT
National Provider Identifier
1295193241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00854
- Practice address
- 1525 Kings Hwy Ste 206
Fairfield, CT 06824-5321 - Phone
- (203) 220-6595
- NPI assigned
- Feb 5, 2016
- Last updated
- Aug 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 00854 | CT | Primary |
Addresses
Primary practice location
1525 Kings Hwy Ste 206
Fairfield, CT 06824-5321
Mailing address
762 Post Rd
Darien, CT 06820-4719
Phone (203) 883-0464
Other practice location 1
762 Post Rd
Darien, CT 06820-4719
Phone (203) 883-0464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1434 Spruce St
Suite 119
Boulder, CO 80302-4815
Phone (720) 653-3003
30 Old Kings Hwy S
Darien, CT 06820-4551
Phone (203) 883-0464
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00854 | CT | MD | Clinical Social Worker |
| 8574 | CT | MD | Pharmacist |
Interoperability endpoints
- jessica.lewis@xdr.hhchealthdirect.org
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, 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": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1295193241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "762 POST RD",
"city": "DARIEN",
"state": "CT",
"postal_code": "068204719",
"telephone_number": "203-883-0464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 KINGS HWY STE 206",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245321",
"telephone_number": "203-220-6595"
}
],
"practiceLocations": [
{
"address_1": "762 Post Rd",
"address_purpose": "LOCATION",
"city": "Darien",
"state": "CT",
"postal_code": "068204719",
"country_code": "US",
"telephone_number": "203-883-0464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "JESSICA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-05",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "00854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.