Organization Active NPI

Estelle Lewis LCSW Enterprises PLLC

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1316660137
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ESTELLE LEWIS LCSW ENTERPRISES PLLC
Practice address
2744 Hylan Blvd # 171
Staten Island, NY 10306-4658
Phone
(917) 916-9910
NPI assigned
Sep 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Estelle Lewis, LCSWNPI 1811099393
Title
Provider
Phone
(917) 916-9910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2744 Hylan Blvd # 171
Staten Island, NY 10306-4658

Mailing address

144 Cross Slope CT Unit C
Manalapan, NJ 07726-2431
Phone (917) 916-9910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221206002625 NY Part B Supplier - Clinic/Group Practice 1759750128 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1316660137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 CROSS SLOPE CT UNIT C",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077262431",
            "telephone_number": "917-916-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 HYLAN BLVD # 171",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064658",
            "telephone_number": "917-916-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTELLE LEWIS LCSW ENTERPRISES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ESTELLE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "917-916-9910",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.