Individual provider Active NPI

Abigail Lewis, LMSW

  • Clinical Social Worker
  • New Baltimore, MI
National Provider Identifier
1629449731
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091213 Issued in MI
Practice address
35054 23 Mile Rd Ste 104
New Baltimore, MI 48047-2019
Phone
(586) 863-4000
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801091213 MI Primary

Addresses

Primary practice location

35054 23 Mile Rd Ste 104
New Baltimore, MI 48047-2019

Mailing address

35054 23 Mile Rd Ste 104
New Baltimore, MI 48047-2019
Phone (586) 863-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160505000452 MI Practitioner - Clinical Social Worker 9830498336 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801091213MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hetal Patel, M.D. P.C. CurrentSince Mar 26, 2016 Accepting new patients
Henry Ford Health System Past Accepting new patients

Locations

30472 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 863-4000

35054 23 Mile Rd
Ste 104
New Baltimore, MI 48047
Phone (586) 716-0500

625 E Big Beaver Rd
Ste 200
Troy, MI 48083
Phone (586) 863-4000

Organizations & group practices 2

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": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1629449731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35054 23 MILE RD STE 104",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480472019",
            "telephone_number": "586-863-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35054 23 MILE RD STE 104",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480472019",
            "telephone_number": "586-863-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ABIGAIL",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Baltimore, MI

Sources for this page

Verify at the official NPI Registry.