Active NPI
Janell Lewis, MSW INTERN
- Student in an Organized Health Care Education/Training Program
- New Haven, CT
National Provider Identifier
1881369544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 419 Whalley Avenue
1St Floor Suite 101
New Haven, CT 06511 - Phone
- (203) 439-5555
- Fax
- (203) 738-1117
- NPI assigned
- Aug 13, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
419 Whalley Avenue
1St Floor Suite 101
New Haven, CT 06511
Mailing address
419 Whalley Avenue
1St Floor Suite 101
New Haven, CT 06511
Phone (203) 439-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
428 Columbus Ave
New Haven, CT 06519-1233
Phone (203) 503-3228
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornell Scott Hill Health Corporation | Current | Accepting new patients |
Locations
428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228
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.
-
- Federally Qualified Health Center (FQHC)
- New Haven, CT
- NPI 1902921380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1881369544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 WHALLEY AVENUE",
"address_2": "1ST FLOOR SUITE 101",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511",
"telephone_number": "203-439-5555",
"fax_number": "203-738-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 WHALLEY AVENUE",
"address_2": "1ST FLOOR SUITE 101",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511",
"telephone_number": "203-439-5555",
"fax_number": "203-738-1117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JANELL",
"credential": "MSW INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-13",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.