Active NPI
Lucinda Lewellen, LCSW
- Clinical Social Worker
- Temple, TX
National Provider Identifier
1922193952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05730
- Practice address
- 1305 S 33Rd St
Temple, TX 76504-6763 - Phone
- (254) 771-4246
- Fax
- (254) 771-4246
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 05730 | TX | Primary |
Addresses
Primary practice location
1305 S 33Rd St
Temple, TX 76504-6763
Mailing address
2202 S 43Rd St
Temple, TX 76504-6912
Phone (254) 771-4246
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05730 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1922193952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 S 43RD ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765046912",
"telephone_number": "254-771-4246",
"fax_number": "254-771-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 S 33RD ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765046763",
"telephone_number": "254-771-4246",
"fax_number": "254-771-4246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWELLEN",
"first_name": "LUCINDA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "05730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.