Individual provider Active NPI

David Harker Lewis, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1740517267
Registry record updated May 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014032 Issued in IL
Practice address
1658 N Milwaukee Ave
Ste 10014438
Chicago, IL 60647-6905
Phone
(321) 219-4136
NPI assigned
Nov 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149014032 IL
Clinical Social Worker 1041C0700X 149.014032 IL Primary

Addresses

Primary practice location

1658 N Milwaukee Ave
Ste 10014438
Chicago, IL 60647-6905

Mailing address

1658 N Milwaukee Ave
# 10014438
Chicago, IL 60647-6905
Phone (312) 219-4136

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL AdvancedMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20101130001107 IL Practitioner - Clinical Social Worker 2860688066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

213 W Institute PL
Suite 500
Chicago, IL 60610-8792
Phone (312) 219-4136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.014032ILMDClinical Social Worker
149014032ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bloompoints, PLLC Clinical CurrentSince Apr 29, 2019 Accepting new patients
Metropolitan Family Services Past Accepting new patients
Metropolitan Family Services Single Specialty Past Accepting new patients

Locations

3656 N Halsted St
Chicago, IL 60613
Phone (773) 472-6469

1 E Superior St
Ste 506
Chicago, IL 60611
Phone (312) 219-4136

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": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1740517267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 N MILWAUKEE AVE",
            "address_2": "# 10014438",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476905",
            "telephone_number": "312-219-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 N MILWAUKEE AVE",
            "address_2": "STE 10014438",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476905",
            "telephone_number": "321-219-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DAVID",
        "middle_name": "HARKER",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-04",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014032",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AdvancedMD",
            "affiliation": "N",
            "address_1": "3656 N Halsted St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606135974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.