Active NPI
Curtis Lewis
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1780076810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005328
- Practice address
- 1017 Fayetteville Rd SE
Suite a
Atlanta, GA 30316-2932 - Phone
- (404) 324-4910
- Fax
- (404) 324-4191
- NPI assigned
- Feb 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005328 | GA | Primary |
Addresses
Primary practice location
1017 Fayetteville Rd SE
Suite a
Atlanta, GA 30316-2932
Mailing address
1017 Fayetteville Road
Suite a
Atlanta, GA 30316
Phone (404) 324-4910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 640804505E | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005328 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chris 180, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Atlanta, GA
- NPI 1134257827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1780076810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 FAYETTEVILLE ROAD",
"address_2": "SUITE A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30316",
"telephone_number": "404-324-4910",
"fax_number": "404-324-4191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 FAYETTEVILLE RD SE",
"address_2": "SUITE A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303162932",
"telephone_number": "404-324-4910",
"fax_number": "404-324-4191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CURTIS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-26",
"last_updated": "2015-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "005328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "640804505E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.