Individual provider Active NPI

Andrew James Lewandowski, MSW LICSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1609259571
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02794 Issued in RI
Practice address
201 N Graham St
Pittsburgh, PA 15206-2891
Phone
(401) 854-6706
Fax
(401) 489-7873
NPI assigned
Jul 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1500690 OH
Clinical Social Worker 1041C0700X ISW02794 RI Primary

Addresses

Primary practice location

201 N Graham St
Pittsburgh, PA 15206-2891

Mailing address

215 Joliet Way
Pittsburgh, PA 15224-1920
Phone (401) 854-6706

Other practice location 1

295 Angell St
Providence, RI 02906-2119
Phone (401) 854-6706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181002000425 RI Practitioner - Clinical Social Worker 2668723636 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1500690OHMDSocial Worker
ISW02794RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thundermist Health Center CurrentSince Sep 10, 2018 Accepting new patients
Andrew Lewandowski Licsw CurrentSince Nov 24, 2024 Accepting new patients
Thundermist Health Center CurrentSince Sep 10, 2018 Accepting new patients
Thundermist Health Center Current Accepting new patients

Locations

450 Clinton St
Woonsocket, RI 02895

25 John a Cummings Way
Ste 302
Woonsocket, RI 02895

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCBEAA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1609259571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 JOLIET WAY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241920",
            "telephone_number": "401-854-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N GRAHAM ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152062891",
            "telephone_number": "401-854-6706",
            "fax_number": "401-489-7873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 Angell St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062119",
            "country_code": "US",
            "telephone_number": "401-854-6706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWANDOWSKI",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "MSW LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "1500690",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.