Individual provider Active NPI

Shana M Brumfield Lewis

  • Social Worker
  • Brookhaven, MS
National Provider Identifier
1972362432
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150116727 Issued in IL
Practice address
126 N Street Dr
Brookhaven, MS 39601-2138
Phone
(601) 748-5005
NPI assigned
Mar 18, 2024
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Social Worker 104100000X 150116727 IL Primary
Clinical Social Worker 1041C0700X 150116727 IL

Addresses

Primary practice location

126 N Street Dr
Brookhaven, MS 39601-2138

Mailing address

126 N Street Dr
Brookhaven, MS 39601-2138
Phone (601) 748-5005

Other practice location 1

73 W Monroe St Ste 422
Chicago, IL 60603-4955
Phone (888) 500-2067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20260129002807 IL Practitioner - Clinical Social Worker 9931687167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5844 Elaine Dr
Suite 103
Rockford, IL 61108-2494

766 N Walden Dr
Palatine, IL 60067-8641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150116727ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alberto Minzer and Associates LLC CurrentSince Jan 20, 2026 Accepting new patients
Cartwheel Health Services PC Mental Health Past Accepting new patients

Organizations & group practices 2

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": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1972362432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N STREET DR",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012138",
            "telephone_number": "601-748-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N STREET DR",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012138",
            "telephone_number": "601-748-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 W Monroe St Ste 422",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606034955",
            "country_code": "US",
            "telephone_number": "888-500-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUMFIELD LEWIS",
        "first_name": "SHANA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150116727",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150116727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

Verify at the official NPI Registry.