Active NPI
James Lewis, PHD
- Clinical Social Worker
- Kissimmee, FL
National Provider Identifier
1306099361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801071733
- Practice address
- 2417 Abby Dr Apt 204
Kissimmee, FL 34741-2720 - Phone
- (407) 780-7942
- Fax
- (407) 780-7942
- NPI assigned
- Nov 3, 2008
- Sex
- Male
- 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 | 6801071733 | MI | Primary |
Addresses
Primary practice location
2417 Abby Dr Apt 204
Kissimmee, FL 34741-2720
Mailing address
2417 Abby Dr Apt 204
Kissimmee, FL 34741-2720
Phone (407) 780-7942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801071733 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332460800000",
"number": "1306099361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2417 ABBY DR APT 204",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347412720",
"telephone_number": "407-780-7942",
"fax_number": "407-780-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2417 ABBY DR APT 204",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347412720",
"telephone_number": "407-780-7942",
"fax_number": "407-780-7942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JAMES",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-03",
"last_updated": "2012-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801071733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.