Individual provider Active NPI

Nora Rebecca Lewis, LCSW

  • Clinical Social Worker
  • Jacksonville, NC
National Provider Identifier
1740381102
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004395 Issued in NC
Practice address
201 New Bridge St
Suite 208
Jacksonville, NC 28540-4736
Phone
(910) 934-7042
Fax
(910) 333-9742
NPI assigned
Sep 26, 2006
Last updated
Aug 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C004395 NC Primary

Addresses

Primary practice location

201 New Bridge St
Suite 208
Jacksonville, NC 28540-4736

Mailing address

201 New Bridge St
Suite 208
Jacksonville, NC 28540-4736
Phone (910) 934-7042

Other identifiers 1

IdentifierTypeStateIssuer
6002960MedicaidNC

Other names 1

  • Nora Rebecca Suggs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050712000721 NC Practitioner - Clinical Social Worker 6507892478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Brody School of Medicine at East Carolina University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hakuna Wellness Center LLCGroup PAC ID 7517377633, 4 clinicians

Practice addresses (Care Compare)

304 S Jimmies Creek Dr
New Bern, NC 28562-3704
Phone (252) 631-6059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C004395NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Second Chance Behavioral Health CurrentSince Nov 2, 2020 Accepting new patients
Hakuna Wellness Center LLC CurrentSince Dec 1, 2022 Accepting new patients
Pride in North Carolina, LLC Past Accepting new patients
C G Counseling and Consulting,PLLC Past Accepting new patients

Locations

2717 Neuse Blvd
New Bern, NC 28562
Phone (252) 514-9888

304 S Jimmies Creek Dr
New Bern, NC 28562
Phone (252) 631-6059

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1740381102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NEW BRIDGE ST",
            "address_2": "SUITE 208",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404736",
            "telephone_number": "910-934-7042",
            "fax_number": "910-333-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NEW BRIDGE ST",
            "address_2": "SUITE 208",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404736",
            "telephone_number": "910-934-7042",
            "fax_number": "910-333-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "NORA",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002960",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORA",
            "last_name": "SUGGS",
            "middle_name": "REBECCA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.