Antonia Lewis, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW023617 Issued in PA

Practice address

397 Eagleview Blvd Ste 120
Exton, PA 19341-1150

Phone

(610) 422-3064

Fax

(484) 870-9846

NPI assigned

Jun 21, 2023

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

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Twenty-2 Management Group LLC

  dba Ellie Mental Health - Chester County PA

  • Mental Health Counselor
  • Exton, PA
  • NPI 1437876448
  Medicare reassignment NPD

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1780369157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CHESTNUT ST, PHILADELPHIA PA 19102",
            "address_2": "SUITE 2, #1169",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 EAGLEVIEW BLVD STE 120",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411150",
            "telephone_number": "610-422-3064",
            "fax_number": "484-870-9846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2716 South St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19146",
            "country_code": "US",
            "telephone_number": "215-586-3252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ANTONIA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey B Leiss, DDS
• Erin Nicole Lender, FNP
• Sharon Leonardo-Barone, DC
• Anne Elizabeth Leung, DPT
• Aignae Lewis
• James Lewis, DO
• Joanne Lewis, CAC
• Libby Mills Nutrition
• Christine M Licata, PT, DPT
• John Lieto Jr., O.D.

• Clinical Social Worker in Exton, PA
• Providers in Exton, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.