Active NPI
Willa Dawn Blue Lewis
- Social Worker
- London, KY
National Provider Identifier
1386407641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 258999
- Practice address
- 725 S Main St
London, KY 40741-1903 - Phone
- (606) 492-2198
- NPI assigned
- Jan 31, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 258999 | KY | Primary |
Addresses
Primary practice location
725 S Main St
London, KY 40741-1903
Mailing address
725 S Main St
London, KY 40741-1903
Phone (606) 492-2198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790731081 | Medicaid | KY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1386407641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 S MAIN ST",
"city": "LONDON",
"state": "KY",
"postal_code": "407411903",
"telephone_number": "606-492-2198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 S MAIN ST",
"city": "LONDON",
"state": "KY",
"postal_code": "407411903",
"telephone_number": "606-492-2198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "WILLA DAWN",
"middle_name": "BLUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-31",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "258999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790731081",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.