Active NPI
Jennifer Sue Lewis, ACSW
- Clinical Social Worker
- Lakeport, CA
National Provider Identifier
1437652385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 118252
- Practice address
- 925 Bevins CT
Lakeport, CA 95453-9754 - Phone
- (707) 263-8382
- Fax
- (707) 263-5019
- NPI assigned
- Mar 16, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 118252 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
925 Bevins CT
Lakeport, CA 95453-9754
Mailing address
PO Box 1248
Lakeport, CA 95453-1248
Phone (707) 413-8409
Other names 1
- Jennifer Sue Nauert
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake County Tribal Health Consortium Inc. | Current | Accepting new patients |
Locations
14440 Olympic Dr
Clearlake, CA 95422
Phone (707) 263-8382
925 Bevins Ct
Lakeport, CA 95453
Phone (707) 263-8382
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.
-
- Federally Qualified Health Center (FQHC)
- Lakeport, CA
- NPI 1881697381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1437652385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1248",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954531248",
"telephone_number": "707-413-8409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 BEVINS CT",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954539754",
"telephone_number": "707-263-8382",
"fax_number": "707-263-5019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JENNIFER",
"middle_name": "SUE",
"credential": "ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "118252",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "NAUERT",
"middle_name": "SUE",
"credential": "ACSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lakeport, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.