Active NPI
Jo Ann V. Lewis, LCSW
- Clinical Social Worker
- Central Islip, NY
National Provider Identifier
1679800213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 054553
- Practice address
- 159 Carleton Ave
Central Islip, NY 11722-4172 - Phone
- (631) 439-4300
- Fax
- (631) 439-4319
- NPI assigned
- Nov 3, 2009
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 054553 | NY | Primary |
Addresses
Primary practice location
159 Carleton Ave
Central Islip, NY 11722-4172
Mailing address
4 Kelly Ave
PO Box 143
Central Islip, NY 11722-3658
Phone (631) 234-1998
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054553 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1679800213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 KELLY AVE",
"address_2": "PO BOX 143",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117223658",
"telephone_number": "631-234-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 CARLETON AVE",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117224172",
"telephone_number": "631-439-4300",
"fax_number": "631-439-4319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JO ANN",
"middle_name": "V.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "054553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Central Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.