Lewis A Fabrick, PHD, PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW560 Issued in FL

Practice address

2833 NW 41St St
#140
Gainesville, FL 32606-6986

Phone

(352) 338-0397

Fax

(352) 372-6787

NPI assigned

Jul 20, 2005

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant, Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lewis a. Fabrick, PHD, PA

  • Clinical Social Worker
  • Gainesville, FL
  • NPI 1508252867
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1932108990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 NW 41ST ST",
            "address_2": "#140",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066986",
            "telephone_number": "352-338-0397",
            "fax_number": "352-372-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 NW 41ST ST",
            "address_2": "#140",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066986",
            "telephone_number": "352-338-0397",
            "fax_number": "352-372-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRICK",
        "first_name": "LEWIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW560",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Irland Ezzell, M.D.
• Michael Anthony Faas, DC
• Katherine Fabiani, LMT
• Karly Simone Fabres, D.M.D.
• Finnette W. Fabrick, PH.D. PA
• Faculty Associates Incorporated
• Faculty Associates, Inc
• Faculty Associates, Inc
• Marcos Alexandre Fadanelli
• Molly Fagen, PT

• Clinical Social Worker in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.

Verify at the official NPI Registry.