Active NPI
Connie Henderson Lewis, MSW, LCSW-A
- Clinical Social Worker
- Louisburg, NC
National Provider Identifier
1962881177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P009490
- Practice address
- 9033 Lake Royale
Louisburg, NC 27549-7208 - Phone
- (252) 477-0008
- Fax
- (252) 303-0321
- NPI assigned
- May 20, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P009490 | NC | Primary |
| Community/Behavioral Health Agency | 251S00000X | P009490 | NC |
Addresses
Primary practice location
9033 Lake Royale
Louisburg, NC 27549-7208
Mailing address
9033 Lake Royale
Louisburg, NC 27549-7208
Phone (252) 477-0008
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P009490 | NC | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1962881177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9033 LAKE ROYALE",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275497208",
"telephone_number": "252-477-0008",
"fax_number": "252-303-0321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9033 LAKE ROYALE",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275497208",
"telephone_number": "252-477-0008",
"fax_number": "252-303-0321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CONNIE",
"middle_name": "HENDERSON",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-20",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P009490",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "P009490",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.