Individual provider Active NPI

Karen C Lewis, LMFT, LCSW

  • Clinical Social Worker
  • Yorktown, VA
National Provider Identifier
1518166362
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009364 Issued in VA
Practice address
160 Main Rd Ste 1806
Yorktown, VA 23691-5111
Phone
(256) 625-9514
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X L299 AL
Clinical Social Worker 1041C0700X 2121C AL
Clinical Social Worker 1041C0700X 0904009364 VA Primary

Addresses

Primary practice location

160 Main Rd Ste 1806
Yorktown, VA 23691-5111

Mailing address

PO Box 463
Williamsburg, VA 23187-0463
Phone (256) 625-9514

Other identifiers 3

IdentifierTypeStateIssuer
0904009364OtherVAVIRGINIA BOARD OF SOCIAL WORK
LMFT -L299OtherALAL BD OF MFT EXAMINERS
2121COtherALCLINICAL SOCIAL WORK

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
0904009364VAMDClinical Social Worker
L299ALMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1518166362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 463",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231870463",
            "telephone_number": "256-625-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MAIN RD STE 1806",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236915111",
            "telephone_number": "256-625-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KAREN",
        "middle_name": "C",
        "credential": "LMFT, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "L299",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "2121C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF SOCIAL WORK",
            "identifier": "0904009364",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL BD OF MFT EXAMINERS",
            "identifier": "LMFT -L299",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SOCIAL WORK",
            "identifier": "2121C",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.