Charles Lewis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

253567 Issued in KY

Practice address

111 N Woodland Dr
Ste B
Radcliff, KY 40160-2678

Phone

(270) 807-0533

Fax

(270) 801-0121

NPI assigned

Jan 25, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• 31:2 Counseling Group, LLC

  • Clinical Social Worker
  • Radcliff, KY
  • NPI 1992360085
  NPD Authorized official

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1316304173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WOODLAND DR",
            "address_2": "STE B",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602678",
            "telephone_number": "270-348-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WOODLAND DR",
            "address_2": "STE B",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602678",
            "telephone_number": "270-807-0533",
            "fax_number": "270-801-0121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Radcliff",
            "state": "KY",
            "postal_code": "401608959",
            "country_code": "US",
            "telephone_number": "270-348-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-25",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas C Kurtz, LCSW
• Amanda Lacefield, LPCC-S
• Michael Karl Le Clair, LDO
• Le Clair's Optical, PSC
• Joyce Letson
• Shapel Lewis
• Lincoln Trail Medical Assoc., PLLC
• Jaleesa B Linton, LPCA
• Julie Anne Litsey, LPA
• Thomas Loesevitz, D.O.

• Clinical Social Worker in Radcliff, KY
• Providers in Radcliff, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.