Individual provider Active NPI

Lexus Cecilia Lewis, LISW-CP

  • Clinical Social Worker
  • North Augusta, SC
National Provider Identifier
1962982793
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17353 Issued in SC
Practice address
607 Hampton Dr
North Augusta, SC 29860-9422
Phone
(803) 293-8780
Fax
(803) 293-8780
NPI assigned
Aug 21, 2018
Last updated
Oct 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17353 SC Primary

Addresses

Primary practice location

607 Hampton Dr
North Augusta, SC 29860-9422

Mailing address

607 Hampton Dr
North Augusta, SC 29860-9422
Phone (803) 293-8780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: No
  • 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
I20240228000933 SC Practitioner - Clinical Social Worker 6204271448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17353SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Essence Therapy LLC CurrentSince Nov 10, 2024 Accepting new patients

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": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1962982793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 HAMPTON DR",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298609422",
            "telephone_number": "803-293-8780",
            "fax_number": "803-293-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 HAMPTON DR",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298609422",
            "telephone_number": "803-293-8780",
            "fax_number": "803-293-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LEXUS",
        "middle_name": "CECILIA",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "17353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

Verify at the official NPI Registry.