Courtney Rae Lewis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09930272 Issued in CO

Practice address

2919 Valmont Rd Ste 104
Boulder, CO 80301-1350

Phone

(720) 663-0163

NPI assigned

Mar 6, 2018

Reactivated

Jul 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Courtney Rae Thoms Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Umbrella Collective Inc

  • Clinical Social Worker
  • Boulder, CO
  • NPI 1881045326
  NPD (past)

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1902308968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 VALMONT RD STE 104",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011350",
            "telephone_number": "720-663-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 VALMONT RD STE 104",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011350",
            "telephone_number": "720-663-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "COURTNEY",
        "middle_name": "RAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "deactivation_date": "2022-05-19",
        "reactivation_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09930272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "THOMS",
            "middle_name": "RAE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bruce Irwin Levy, M.S.
• Jenna Levy
• Michael Levy
• Ray Alwah Lewey, MA, LPC
• Brooke W Lewis, PA-C
• Jeffrey D Lewis, M.D.
• John Harrison Lewis, OTR
• Penelope Lee Lewis, RN
• Steven Howard Lewis, MD
• Jennifer Walentas Lewon

• Clinical Social Worker in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.