Active NPI
Clare Ann Lewis, LCSW
- Clinical Social Worker
- Brown Deer, WI
National Provider Identifier
1972604809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6957-123
- Practice address
- 3900 W Brown Deer Rd
Suite 200
Brown Deer, WI 53209 - Phone
- (414) 540-2170
- Fax
- (414) 540-2171
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6957-123 | WI | Primary |
Addresses
Primary practice location
3900 W Brown Deer Rd
Suite 200
Brown Deer, WI 53209
Mailing address
3900 W Brown Deer Rd
Suite 200
Brown Deer, WI 53209
Phone (414) 540-2170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39798200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463702400000",
"number": "1972604809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 W BROWN DEER RD",
"address_2": "SUITE 200",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "53209",
"telephone_number": "414-540-2170",
"fax_number": "414-540-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 W BROWN DEER RD",
"address_2": "SUITE 200",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "53209",
"telephone_number": "414-540-2170",
"fax_number": "414-540-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CLARE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2016-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "6957-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39798200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brown Deer, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.