Jennifer Lynn Lewis, LCSW
Individual provider Active NPI Clinical Social Worker · West Terre Haute, IN
NPI 1497358808 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1497358808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34011350A (IN)
- Practice address
- 701 W Candlewick Cir
West Terre Haute, IN 47885-9628 - Phone
- (812) 205-6418
- NPI assigned
- Nov 18, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250903003116 | IN | Practitioner - Clinical Social Worker | 0244732972 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
| Nurturing Minds Counseling & Consulting, LLC | Clinical | Current |
Accepting new patients |
| Chances and Services for Youth Inc. | Clinical | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34011350A | IN | Yes |
| Social Worker | 104100000X |
Addresses
Primary practice location
701 W Candlewick Cir
West Terre Haute, IN 47885-9628
Mailing address
701 W Candlewick Cir
West Terre Haute, IN 47885-9628
Phone (812) 205-6418
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34011350A | Other | IN | LICENSE |
Other names
- Ms. Jennifer Lynn Lewis
Other providers in West Terre Haute, IN
- Catherine J Hadden
- Timothy Joe Johnson
- Jr Pharmacy LLC 6
- Sheila Kilat
- Legacy Healthcare Services Inc
- Brittany Meyer
- Kelsey L Morgan
- Nurturing Minds Counseling & Consulting, LLC
- Stephanie R. O'Neal
- Harold D Ross
All providers in West Terre Haute, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.