Active NPI
Peter Lewis, LCSW
- Clinical Social Worker
- Culpeper, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904010651
- 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, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396286464 | Medicaid | VA | |
| Q61316A | Other | VA | MEDICARE |
| 0904010651 | Other | VA | LICENSE |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
dba Wellspring Health Services
- Multi-Specialty Clinic/Center
- Culpeper, VA
- NPI 1356874275
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.