Individual provider Active NPI

Georgeanna Ingersoll Lewis, MSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1821246588
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16363 Issued in MN
Practice address
3217 Hennepin Ave Ste 5
Minneapolis, MN 55408-4695
Phone
(612) 239-2796
Fax
(888) 971-3874
NPI assigned
Sep 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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 16363 MN Primary

Addresses

Primary practice location

3217 Hennepin Ave Ste 5
Minneapolis, MN 55408-4695

Mailing address

3230 Pleasant Ave
Minneapolis, MN 55408-3712
Phone (612) 239-2796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140124000350 MN Practitioner - Clinical Social Worker 1052549888 Reassigns benefits to 1 organization
Practice locations: Minneapolis, MN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Springbox Therapy LLCGroup PAC ID 6507245255, 2 clinicians

Practice addresses (Care Compare)

3217 Hennepin Ave
Suite 5
Minneapolis, MN 55408-4695
Phone (612) 239-2796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Springbox Therapy LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

3217 Hennepin Ave
Ste 5
Minneapolis, MN 55408
Phone (612) 239-2796

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.

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1821246588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 PLEASANT AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083712",
            "telephone_number": "612-239-2796",
            "fax_number": "612-971-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 HENNEPIN AVE STE 5",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084695",
            "telephone_number": "612-239-2796",
            "fax_number": "888-971-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GEORGEANNA",
        "middle_name": "INGERSOLL",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.