Active NPI
Ellen R. Lewis, L.C.S.W.
- Clinical Social Worker
- Oklahoma City, OK
National Provider Identifier
1801930508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1872
- Practice address
- 5601 NW 72 St
Ste 310
Oklahoma City, OK 73132 - Phone
- (405) 773-9120
- Fax
- (405) 773-9120
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 1872 | OK | Primary |
Addresses
Primary practice location
5601 NW 72 St
Ste 310
Oklahoma City, OK 73132
Mailing address
5601 NW 72 St
Suite 310
Oklahoma City, OK 73132
Phone (405) 773-9120
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1872 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1801930508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 NW 72 ST",
"address_2": "SUITE 310",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73132",
"telephone_number": "405-773-9120",
"fax_number": "405-773-9120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 NW 72 ST",
"address_2": "STE 310",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73132",
"telephone_number": "405-773-9120",
"fax_number": "405-773-9120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ELLEN",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "1872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.