Active NPI
Thonas O'Neal Lewis, LBSW,LCDC
- Social Worker
- Grand Prairie, TX
National Provider Identifier
1376654509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10793
- Practice address
- 1930 W E Roberts Dr
Grand Prairie, TX 75051-1335 - Phone
- (972) 660-8565
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 10793 | TX | Primary |
Addresses
Primary practice location
1930 W E Roberts Dr
Grand Prairie, TX 75051-1335
Mailing address
603 E Lynn Creek Dr
Arlington, TX 76002-5404
Phone (817) 784-2544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10793 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1376654509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 E LYNN CREEK DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760025404",
"telephone_number": "817-784-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 W E ROBERTS DR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750511335",
"telephone_number": "972-660-8565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "THONAS",
"middle_name": "O'NEAL",
"name_prefix": "Mr.",
"credential": "LBSW,LCDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "10793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.