Individual provider Active NPI

Beatrice Trubin Lewis, MSW, LCSW-C

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1811252745
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18117 Issued in MD
Practice address
9520 Berger Rd
Suite 203
Columbia, MD 21046-1501
Phone
(410) 290-6940
Fax
(443) 279-0537
NPI assigned
Jul 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18117 MD Primary

Addresses

Primary practice location

9520 Berger Rd
Suite 203
Columbia, MD 21046-1501

Mailing address

120 Sister Pierre Dr
Suite 403
Towson, MD 21204-7516
Phone (410) 823-6408

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

LicenseStateTypeSpecialty
18117MDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1811252745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR",
            "address_2": "SUITE 403",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047516",
            "telephone_number": "410-823-6408",
            "fax_number": "443-279-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 BERGER RD",
            "address_2": "SUITE 203",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461501",
            "telephone_number": "410-290-6940",
            "fax_number": "443-279-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BEATRICE",
        "middle_name": "TRUBIN",
        "credential": "MSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.