Individual provider Active NPI

Sharron Sanders Lewis, LCSW

  • Clinical Social Worker
  • Deridder, LA
National Provider Identifier
1306984513
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8207 Issued in LA
Practice address
106 W Port St
Deridder, LA 70634-4040
Phone
(337) 462-1641
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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 8207 LA Primary

Addresses

Primary practice location

106 W Port St
Deridder, LA 70634-4040

Mailing address

402 W 8TH St
Deridder, LA 70634-5508
Phone (337) 401-4686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210427000249 LA Practitioner - Clinical Social Worker 9739597006 Reassigns benefits to 1 organization
I20260116001320 TX Practitioner - Clinical Social Worker 9739597006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ab Craig Aprn LLCGroup PAC ID 5395085641, 3 clinicians
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

402 W 8TH St
Abc Wellness Group
Deridder, LA 70634-5508
Phone (337) 401-4686

600 Congress Ave
Austin, TX 78701-3238
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ab Craig Aprn LLC CurrentSince May 1, 2021 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jan 11, 2026 Accepting new patients
Imperial Calcasieu Human Services Authority PastSince Apr 25, 2021 Accepting new patients

Locations

402 W 8th St
Deridder, LA 70634
Phone (337) 401-4686

106 W Port St
Deridder, LA 70634
Phone (337) 462-1461

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

Interoperability endpoints

  • Direct secure messaging: sharron.lewis.1@25783.direct.athenahealth.com

Organizations & group practices 3

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1306984513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W 8TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706345508",
            "telephone_number": "337-401-4686",
            "fax_number": "337-221-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W PORT ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344040",
            "telephone_number": "337-462-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SHARRON",
        "middle_name": "SANDERS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

Verify at the official NPI Registry.