Elyssia N Lewis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C015180 Issued in NC

Practice address

36065 Sante Fe Ave
Fort Hood, TX 76544-7654

Phone

(254) 287-0183

NPI assigned

Sep 9, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1730800418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71028 JIMENEZ ST # 1",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765441761",
            "telephone_number": "336-708-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36065 SANTE FE AVE",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765447654",
            "telephone_number": "254-287-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ELYSSIA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://darnall.tricare.mil/Health-Services/Mental-Health-Substance-Abuse",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "36065 Sante Fe Ave",
            "city": "Fort Hood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765447654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany M Leuthner, DMD
• Gay Lynn Levan, RD
• Teresa Danette Leverson, LVN
• Amanda Joyce Lewis
• Danell Lee Lewis, LCSW AND LMFT
• Diana Li
• Jiansheng Li
• Dayami Liebenguth, PSY.D.
• Verna Elaine Light, LVN
• Issac Donhyun Lim, DO

• Clinical Social Worker in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.