Organization Active NPI

Wendy Lewis LCSW PC

  • Clinical Social Worker
  • Portland, ME
National Provider Identifier
1497282560
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC6386 Issued in ME
Legal business name
WENDY LEWIS LCSW PC
Practice address
145 Newbury St Ste 1
Portland, ME 04101-4261
Phone
(207) 939-9544
NPI assigned
May 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
Wendy Lewis
Title
LCSW
Phone
(207) 939-9544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LC6386 ME Primary

Addresses

Primary practice location

145 Newbury St Ste 1
Portland, ME 04101-4261

Mailing address

145 Newbury St Ste 1
Portland, ME 04101-4261

Other identifiers 1

IdentifierTypeStateIssuer
544223000OtherMAGELLAN PROVIDER ID

National Provider Directory

National Provider Directory

Locations

145 Newbury St
Fl 1
Portland, ME 04101
Phone (207) 772-5400

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1497282560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 NEWBURY ST STE 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 NEWBURY ST STE 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014261",
            "telephone_number": "207-939-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY LEWIS LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "207-939-9544"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROVIDER ID",
            "identifier": "544223000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.