Active NPI
Kamren Lewis
- Social Worker
- Pembroke, NC
National Provider Identifier
1912717299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 902 Dogwood LN
Pembroke, NC 28372-9694 - Phone
- (910) 775-4775
- NPI assigned
- Jan 9, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | NC | Primary |
Addresses
Primary practice location
902 Dogwood LN
Pembroke, NC 28372-9694
Mailing address
56 Leeward Way Apt B
Pembroke, NC 28372-7281
Phone (919) 600-3961
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1912717299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 LEEWARD WAY APT B",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283727281",
"telephone_number": "919-600-3961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 DOGWOOD LN",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283729694",
"telephone_number": "910-775-4775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KAMREN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.