Marcella M Lewis, L.C.S.W.-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R040694 Issued in NY

Practice address

1155 Mohawk St
Utica, NY 13501-3744

Phone

(315) 732-7615

Fax

(317) 724-4700

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639285620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MOHAWK ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135013744",
            "telephone_number": "315-732-7615",
            "fax_number": "317-724-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MOHAWK ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135013744",
            "telephone_number": "315-732-7615",
            "fax_number": "317-724-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARCELLA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R040694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7491844002",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01742685",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "615452",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn W Lerum, NP
• Steven A. Levine, D.O.
• Mike Lewandrowski
• Brooke Maureen Lewis, LMSW
• Deanna Lewis, DO
• Shyqual M Lewis, MD
• Ningwei Li, MD
• John J Liang, DMD
• Margaret Liberty
• Lifeplan Cco Ny, LLC

• Clinical Social Worker in Utica, NY
• Providers in Utica, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.