Individual provider Active NPI

Carmella Lewis, LMSW

  • Clinical Social Worker
  • Sterling Heights, MI
National Provider Identifier
1316563885
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801114122 Issued in MI
Practice address
7333 Triangle Dr
Sterling Heights, MI 48314-2318
Phone
(586) 238-4265
NPI assigned
Jun 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801114122 MI Primary
Mental Health Counselor 101YM0800X 6801105698 MI
Mental Health Counselor 101YM0800X 6801114122 MI

Addresses

Primary practice location

7333 Triangle Dr
Sterling Heights, MI 48314-2318

Mailing address

PO Box 610151
Port Huron, MI 48061-0151
Phone (419) 742-2422

Other practice location 1

5200 Taft Rd
Clay, MI 48001-4701
Phone (810) 987-5300

Other practice location 2

3415 28th St
Port Huron, MI 48060-6931
Phone (810) 987-5300

Other practice location 3

2215 Court St
Port Huron, MI 48060-4937
Phone (810) 987-1311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carmella.lewis@thriveworks.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230804003269 MI Practitioner - Clinical Social Worker 6406217579 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801105698MIMDMental Health Counselor
6801114122MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Psychiatry of Michigan PLLC CurrentSince Jan 19, 2025 Accepting new patients
Thrive Counseling LLC Mental Health CurrentSince Aug 3, 2023 Accepting new patients
County of St Clair PastSince Jun 28, 2022 Accepting new patients
Downriver Community Services Inc. Past Accepting new patients

Locations

3031 Commerce Dr
Ste A
Fort Gratiot, MI 48059
Phone (810) 292-0557

2422 Jolly Rd
Ste 100A
Okemos, MI 48864
Phone (517) 853-1358

7333 Triangle Dr
Sterling Hts, MI 48314
Phone (248) 686-3347

34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 4

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": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1316563885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610151",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480610151",
            "telephone_number": "419-742-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 TRIANGLE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142318",
            "telephone_number": "586-238-4265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Taft Rd",
            "address_purpose": "LOCATION",
            "city": "Clay",
            "state": "MI",
            "postal_code": "480014701",
            "country_code": "US",
            "telephone_number": "810-987-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3415 28th St",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480606931",
            "country_code": "US",
            "telephone_number": "810-987-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Court St",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480604937",
            "country_code": "US",
            "telephone_number": "810-987-1311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CARMELLA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114122",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801105698",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801114122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carmella.lewis@thriveworks.com",
            "affiliation": "N",
            "address_1": "7333 Triangle Dr",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483142318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.