Active NPI
Diane Lewis, LICSW
- Clinical Social Worker
- Portsmouth, RI
National Provider Identifier
1508989294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW02195
- Practice address
- 78 McCorrie LN
Portsmouth, RI 02871-3626 - Phone
- (401) 683-8074
- NPI assigned
- Apr 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW02195 | RI | Primary |
Addresses
Primary practice location
78 McCorrie LN
Portsmouth, RI 02871-3626
Mailing address
78 McCorrie LN
Portsmouth, RI 02871-3626
Phone (401) 683-8074
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386028800000",
"number": "1508989294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 MCCORRIE LN",
"city": "PORTSMOUTH",
"state": "RI",
"postal_code": "028713626",
"telephone_number": "401-683-8074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 MCCORRIE LN",
"city": "PORTSMOUTH",
"state": "RI",
"postal_code": "028713626",
"telephone_number": "401-683-8074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "DIANE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2013-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW02195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.