Organization Active NPI

Synergy Consultants & Psychotherapy Practice

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1356883698
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001415 Issued in DE
Legal business name
SYNERGY CONSULTANTS & PSYCHOTHERAPY PRACTICE
Practice address
301 Old Dupont Road Suite a
Wilmington, DE 19804-1000
Phone
(302) 503-2273
Fax
(302) 351-6830
NPI assigned
Nov 16, 2016
Last updated
Feb 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Authorized official

Name
Dr. Margo Leona Lewis-Jah, PH.D,LCSW,M.ED,MOMLNPI 1245632124
Title
Owner/Director
Phone
(610) 800-9524

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 Q1-0001415 DE Primary

Addresses

Primary practice location

301 Old Dupont Road Suite a
Wilmington, DE 19804-1000

Mailing address

237 Dumont Rd
Wilmington, DE 19804-1001
Phone (610) 800-9524

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1356883698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 DUMONT RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198041001",
            "telephone_number": "610-800-9524",
            "fax_number": "302-351-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OLD DUPONT ROAD SUITE A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198041000",
            "telephone_number": "302-503-2273",
            "fax_number": "302-351-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY CONSULTANTS & PSYCHOTHERAPY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS-JAH",
        "authorized_official_first_name": "MARGO",
        "authorized_official_middle_name": "LEONA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "610-800-9524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D,LCSW,M.ED,MOML"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.