Gary Lewis, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

00416 Issued in IA

Practice address

801 5TH St
Sioux City, IA 51101-1394

Phone

(701) 279-2010

Fax

(701) 279-5649

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1740285774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 10TH ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "952-442-9770",
            "fax_number": "952-442-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011394",
            "telephone_number": "701-279-2010",
            "fax_number": "701-279-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GARY",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "00416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140111",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IOWA",
            "identifier": "54513",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mika Leinonen, BA, CADC
• James Franklin Lenhart, LBSW
• Paula Kate Lepon
• Tyler Jon Lesko, PMHNP-BC
• Melissa Ann Levering, FNP-BC, NP-C
• Wayne Anthony Lewis, DDS
• Tabatha Orisa Li
• Shayna Beth Lichten, DMD
• Liem Som Oei MD PC
• Joseph Don Liewer, M.D.

• Social Worker in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.