Individual provider Active NPI

Adina Bloom Lewkowicz, L.I.S.W.

  • Social Worker
  • Mentor, OH
National Provider Identifier
1477844322
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0008042 Issued in OH
Practice address
8351 Mentor Ave
Mentor, OH 44060-5749
Phone
(216) 839-2273
Fax
(216) 896-0735
NPI assigned
Apr 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0008042 OH Primary

Addresses

Primary practice location

8351 Mentor Ave
Mentor, OH 44060-5749

Mailing address

1136 Dorsh Rd
South Euclid, OH 44121-3875
Phone (216) 382-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0008042OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1477844322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 DORSH RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213875",
            "telephone_number": "216-382-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8351 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605749",
            "telephone_number": "216-839-2273",
            "fax_number": "216-896-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWKOWICZ",
        "first_name": "ADINA",
        "middle_name": "BLOOM",
        "credential": "L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "0008042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.