Tracy Flanagan Lewis, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14971 Issued in MN

Practice address

4748 Chicago Ave Ste 3
Minneapolis, MN 55407-4320

Phone

(612) 599-3407

NPI assigned

Oct 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Together Anxiety and Ocd Treatment LTD

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1841964947
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1629677422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4748 CHICAGO AVE STE 3",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554074320",
            "telephone_number": "612-599-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4748 CHICAGO AVE STE 3",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554074320",
            "telephone_number": "612-599-3407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 E 48th St # 5",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554195651",
            "country_code": "US",
            "telephone_number": "612-399-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4302 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554073139",
            "country_code": "US",
            "telephone_number": "612-599-3407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4748 Chicago Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554074320",
            "country_code": "US",
            "telephone_number": "612-599-3407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4302 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554073139",
            "country_code": "US",
            "telephone_number": "612-599-3407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4748 Chicago Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554074320",
            "country_code": "US",
            "telephone_number": "612-599-3407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4748 Chicago Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554074320",
            "country_code": "US",
            "telephone_number": "612-599-3407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4748 Chicago Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554074320",
            "country_code": "US",
            "telephone_number": "612-599-3407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4748 Chicago Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554074320",
            "country_code": "US",
            "telephone_number": "612-599-3407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4748 Chicago Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554074320",
            "country_code": "US",
            "telephone_number": "612-599-3407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4748 Chicago Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554074320",
            "country_code": "US",
            "telephone_number": "612-599-3407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TRACY",
        "middle_name": "FLANAGAN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra A Lewis, MD
• Scott Mitchell Lewis, M.D., PH.D.
• Shawna R Lewis
• Sheara Lewis
• Susan E Lewis, PT
• Valerie Mikel Lewis, MS, LMFT
• Ryan Donovan Lewsader
• Benjamin Joseph Lexau
• Sarah Jo Lexcen, PA-C
• Ashley Lexvold, CRNA

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.