Kelly Ann Lewis, LLBSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

6802087604 Issued in MI

Practice address

1800 W Big Beaver Rd
Suite 150
Troy, MI 48084-3545

Phone

(248) 918-5600

Fax

(248) 918-5600

NPI assigned

Mar 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelly Ann Jessop Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1396086005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WEST BIG BEAVER ROAD",
            "address_2": "SUITE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48084",
            "telephone_number": "248-918-5600",
            "fax_number": "248-530-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W BIG BEAVER RD",
            "address_2": "SUITE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843545",
            "telephone_number": "248-918-5600",
            "fax_number": "248-918-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LLBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6802087604",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802087604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "JESSOP",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lewis Smith PH.D., P.C.
• Amanda Lewis
• Amber Lewis
• Chelby Lewis, PA-C
• Debra K Lewis, PSYD LP
• Matthew Lewis
• Katherine Lewnau
• Jessika Leyva
• Jonathan William Lezotte, DO
• Kelsey Renee Lheureux, OTR/L

• Case Manager/Care Coordinator in Troy, MI
• Providers in Troy, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.