Active NPI
Tanisha Lewis, LMSW
- Counselor
- Bronx, NY
National Provider Identifier
1609452200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 110804
- Practice address
- 860 Melrose Ave
Bronx, NY 10451-4443 - Phone
- (917) 473-6996
- NPI assigned
- Mar 23, 2021
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 110804 | NY | Primary |
Addresses
Primary practice location
860 Melrose Ave
Bronx, NY 10451-4443
Mailing address
253 Malden PL # A60
Staten Island, NY 10306-4603
Phone (347) 898-5792
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110804 | NY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1609452200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 MALDEN PL # A60",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103064603",
"telephone_number": "347-898-5792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 MELROSE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104514443",
"telephone_number": "917-473-6996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "TANISHA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-23",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "110804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.