Individual provider Active NPI

Peter Lewis, LCSW

  • Clinical Social Worker
  • Culpeper, VA
National Provider Identifier
1396286464
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010651 Issued in VA
Practice address
608 S Main St
Culpeper, VA 22701-3210
Phone
(540) 825-4557
Fax
(540) 825-4566
NPI assigned
Mar 9, 2017
Last updated
Nov 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904010651 VA Primary

Addresses

Primary practice location

608 S Main St
Culpeper, VA 22701-3210

Mailing address

PO Box 21975
Belfast, ME 04915-4116
Phone (540) 321-4281

Other practice location 1

15237 Creativity Dr
Culpeper, VA 22701-2504
Phone (540) 321-4281

Other practice location 2

541 Sunset Ln Ste 301
Culpeper, VA 22701-3979
Phone (540) 825-4557

Other identifiers 3

IdentifierTypeStateIssuer
1396286464MedicaidVA
Q61316AOtherVAMEDICARE
0904010651OtherVALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181013000036 VA Practitioner - Clinical Social Worker 3870870090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

663 Sunset LN
Culpeper, VA 22701-3919
Phone (540) 825-4557

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 7, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 7, 2020 Accepting new patients
Ridgeline Physician Services, LLC Past Accepting new patients

Locations

15237 Creativity Dr
Culpeper, VA 22701
Phone (540) 321-4281

541 Sunset Ln
Ste 301
Culpeper, VA 22701
Phone (540) 825-4557

608 S Main St
Culpeper, VA 22701
Phone (540) 825-4557

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • Direct secure messaging: peter.lewis.1@8042.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1396286464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21975",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154116",
            "telephone_number": "540-321-4281",
            "fax_number": "540-321-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 S MAIN ST",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013210",
            "telephone_number": "540-825-4557",
            "fax_number": "540-825-4566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15237 Creativity Dr",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227012504",
            "country_code": "US",
            "telephone_number": "540-321-4281",
            "fax_number": "540-321-4282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "541 Sunset Ln Ste 301",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013979",
            "country_code": "US",
            "telephone_number": "540-825-4557",
            "fax_number": "540-825-4566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "PETER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-09",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396286464",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q61316A",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0904010651",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.