Individual provider Active NPI

Trecia A. Lewis, LCSW, LICSW

  • Social Worker
  • Rye Brook, NY
National Provider Identifier
1720298110
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
7 Rye Brook PLZ
Rye Brook, NY 10573-2822
Phone
(914) 361-9778
NPI assigned
May 23, 2007
Last updated
Apr 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary
Clinical Social Worker 1041C0700X 086904 NY

Addresses

Primary practice location

7 Rye Brook PLZ
Rye Brook, NY 10573-2822

Mailing address

28204 Town Green Dr
Elmsford, NY 10523-1693
Phone (914) 758-3219

Other practice location 1

101 Kirkland Rd
Covington, GA 30016-3317
Phone (770) 784-0076

Other practice location 2

28204 Town Green Dr
Elmsford, NY 10523-1693
Phone (914) 361-9778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1720298110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28204 TOWN GREEN DR",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105231693",
            "telephone_number": "914-758-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RYE BROOK PLZ",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732822",
            "telephone_number": "914-361-9778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Kirkland Rd",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300163317",
            "country_code": "US",
            "telephone_number": "770-784-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28204 Town Green Dr",
            "address_purpose": "LOCATION",
            "city": "Elmsford",
            "state": "NY",
            "postal_code": "105231693",
            "country_code": "US",
            "telephone_number": "914-361-9778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TRECIA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

Verify at the official NPI Registry.