Logan W. Lewis Jr., LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

073124 Issued in NY

Practice address

17515 Rockaway Blvd
Jamaica, NY 11434-5503

Phone

(718) 632-3275

Fax

(718) 632-1568

NPI assigned

Dec 19, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Camelot of Staten Island, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Staten Island, NY
  • NPI 1942359476
  NPD (past)

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1780953893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8439 117TH ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181402",
            "telephone_number": "646-879-0107",
            "fax_number": "718-632-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17515 ROCKAWAY BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345503",
            "telephone_number": "718-632-3275",
            "fax_number": "718-632-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LOGAN",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "073124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Karen Lewis-Branch, RN
• Ashley A Lewis, LMSW
• India Victoria Lewis, R.N.
• Kareen Nicole Lewis
• Karim Lewis
• Tenesha Lewis
• Cheryl Schreiber Lewison, MD
• Ugen Lhamu
• Katherine Li-Gambino
• Amy Li

• Social Worker in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.