Susie Lewis, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851110282 Issued in MI

Practice address

91 N Saginaw St Ste G-101
Pontiac, MI 48342-2165

Phone

(248) 977-5272

NPI assigned

Jan 28, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• A Beautiful Mind Therapy Services PLLC

  • Clinical Social Worker
  • Pontiac, MI
  • NPI 1912525213
  NPD

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1669125761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 N SAGINAW ST STE G-101",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422165",
            "telephone_number": "248-977-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 N SAGINAW ST STE G-101",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422165",
            "telephone_number": "248-977-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SUSIE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851110282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthias Harald Leuchtgens, M.D.
• Oleksiy M Levantsevych, MD
• Bettie Lewis
• Roseanna M Lewis
• Shavone Jasmine Lewis, RRT
• Vernon Mae Lewis
• Andy Li, FNP-C
• Wenying Liang, MD
• Kristen Renee Linck, RN
• Ruth Anne Lindhagen, NP-C

• Clinical Social Worker in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.