NPIMap

Individual provider Active NPI

Elisa Shavonne Lewis, LCSW

  • Clinical Social Worker
  • Walnut Creek, CA
National Provider Identifier
1376875237
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
81324 Issued in CA
Practice address
140 Flora Ave Apt 109
Walnut Creek, CA 94595-1236
Phone
(661) 238-9916
NPI assigned
Feb 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 8012 OR
School Social Worker 1041S0200X
Clinical Social Worker 1041C0700X 81324 CA Primary

Addresses

Primary practice location

140 Flora Ave Apt 109
Walnut Creek, CA 94595-1236

Mailing address

140 Flora Ave Apt 109
Walnut Creek, CA 94595-1236
Phone (510) 684-7407

Other practice location 1

1814 Franklin St
4th Floor
Oakland, CA 94612-3487
Phone (510) 613-0330

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elisa@mochatherapyinc.com Direct

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

LicenseStateTypeSpecialty
81324CAMDClinical Social Worker
8012ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Community Services Inc Past Accepting new patients

Organizations & group practices 1

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": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1376875237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FLORA AVE APT 109",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951236",
            "telephone_number": "510-684-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 FLORA AVE APT 109",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951236",
            "telephone_number": "661-238-9916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1814 Franklin St",
            "address_2": "4th Floor",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946123487",
            "country_code": "US",
            "telephone_number": "510-613-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ELISA",
        "middle_name": "SHAVONNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "8012",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "81324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elisa@mochatherapyinc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "140 Flora Ave Apt 109",
            "city": "Walnut Creek",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945951236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.