Tania M. Lewis, LCSW, LCDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

58249 Issued in TX

Practice address

904 Reveille Rd
Fort Worth, TX 76108-4089

Phone

(817) 528-6710

Fax

(817) 423-7504

NPI assigned

Dec 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1871924175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 REVEILLE RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084089",
            "telephone_number": "817-528-6710",
            "fax_number": "817-423-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 REVEILLE RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084089",
            "telephone_number": "817-528-6710",
            "fax_number": "817-423-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TANIA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58249",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12496",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Edward Lewis, DMD
• Rand H. Lewis, D.C.
• Sara Christine Lewis, OTR/L
• Stacey Lynn Lewis, LCSW
• Tamera Katina Lewis, LMSW
• Trina Liz Lewis, DO
• Vicky Beth Lewis, RPH
• Vincent Jerome Lewis, D.O.
• Sherry Lexington, FNP-C
• Renee Marie Lexow, PSYD

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.