Individual provider Active NPI

Greg Lewis, LMSW

  • Social Worker
  • Baltimore, MD
National Provider Identifier
1952964777
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
107 E 25TH St
Baltimore, MD 21218-5213
Phone
(443) 703-8034
NPI assigned
Apr 17, 2019
Last updated
Apr 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

107 E 25TH St
Baltimore, MD 21218-5213

Mailing address

9808 Tolworth Cir
Randallstown, MD 21133-2024

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Glewis@awlllc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20230215000955 MD Practitioner - Clinical Social Worker 3577935873 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22739MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis Mental Health Services CurrentSince Dec 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: glewis@awlllc.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1952964777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 TOLWORTH CIR",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185213",
            "telephone_number": "443-703-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GREG",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Glewis@awlllc.org",
            "affiliation": "N",
            "address_1": "107 E 25th St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212185213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.