Individual provider Active NPI

Janet D Lewis, LCSW

  • Clinical Social Worker
  • Texarkana, AR
National Provider Identifier
1710650189
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9455-C Issued in AR
Practice address
2516 Senator St
Texarkana, AR 71854-3876
Phone
(870) 624-1407
Fax
(870) 634-2103
NPI assigned
Jul 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 109123 TX
Clinical Social Worker 1041C0700X 9455-C AR Primary

Addresses

Primary practice location

2516 Senator St
Texarkana, AR 71854-3876

Mailing address

2516 Senator St
Texarkana, AR 71854-3876
Phone (870) 624-1407

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@d3prmindbodyspirit.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20250114001005 AR Practitioner - Clinical Social Worker 3476081217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

4704 W Commercial Dr
Suite a
North Little Rock, AR 72116-8040
Phone (501) 397-1015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109123TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
D3PR Mind Body Spirit Healing and Restorative Services Clinical CurrentSince Dec 17, 2024 Accepting new patients
Thrive Counseling LLC CurrentSince Jan 28, 2025 Accepting new patients
Thriveworks Telepsychiatry - Arkansas PastSince May 10, 2022 Accepting new patients

Locations

4704 W Commercial Dr
Ste A
North Little Rock, AR 72116
Phone (501) 397-1015

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

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": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1710650189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 SENATOR ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718543876",
            "telephone_number": "870-624-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 SENATOR ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718543876",
            "telephone_number": "870-624-1407",
            "fax_number": "870-634-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JANET",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "9455-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@d3prmindbodyspirit.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2516 Senator St",
            "city": "Texarkana",
            "state": "AR",
            "country_code": "US",
            "postal_code": "718543876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

Verify at the official NPI Registry.