Kate Marie Boucek Lewis, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007743 Issued in VA

Practice address

6910 Richmond Hwy Ste 110
Alexandria, VA 22306-1850

Phone

(703) 660-8108

Fax

(703) 768-0103

NPI assigned

Jul 10, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• John-Mike Nelson, PLLC

  • Professional Counselor
  • Burke, VA
  • NPI 1770935926
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1457385486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 RICHMOND HWY STE 110",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223061850",
            "telephone_number": "703-660-8108",
            "fax_number": "703-768-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 RICHMOND HWY STE 110",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223061850",
            "telephone_number": "703-660-8108",
            "fax_number": "703-768-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KATE",
        "middle_name": "MARIE BOUCEK",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078226",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Marie Levy
• Avion F Lewis, MS OTR/L
• Cameron Nichole Lewis, AGACNP-BC
• Gwendolyn Rose Lewis, BCAT
• Jane Anie Lewis, HHA
• Kay Lewis, MFT
• Miller Benjamin Lewis, DDS
• Rosemary S Lewis, LPC LMFT
• LHCG Cci, LLC
• Dan Li, PH.D., L.AC.

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.