Individual provider Active NPI

Kelly A Lewis, LMSW

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1972644029
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087320 Issued in MI
Practice address
3323 Shattuck Rd Ste 1
Saginaw, MI 48603-3184
Phone
(989) 475-4171
Fax
(989) 393-6021
NPI assigned
Feb 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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 6801087320 MI Primary

Addresses

Primary practice location

3323 Shattuck Rd Ste 1
Saginaw, MI 48603-3184

Mailing address

3323 Shattuck Rd Ste 1
Saginaw, MI 48603-3184
Phone (989) 475-4171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150313002034 MI Practitioner - Clinical Social Worker 5698091478 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7950 Gratiot Rd
Suite 3
Saginaw, MI 48609-5042
Phone (989) 843-3306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801087320MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Lewis Counseling & Healing LLC Clinical CurrentSince Nov 18, 2021 Accepting new patients
McDowell Healing Arts Center LLC Clinical CurrentSince May 12, 2020 Accepting new patients

Locations

3323 Shattuck Rd
Ste 1
Saginaw, MI 48603
Phone (989) 475-4171

3253 Congress Ave
Saginaw, MI 48602
Phone (989) 475-4171

7950 Gratiot Rd
Ste 3
Saginaw, MI 48609
Phone (989) 843-3306

3995 Fashion Square Blvd
Ste 6
Saginaw, MI 48603
Phone (989) 475-4171

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1972644029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 SHATTUCK RD STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033184",
            "telephone_number": "989-475-4171",
            "fax_number": "989-393-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 SHATTUCK RD STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033184",
            "telephone_number": "989-475-4171",
            "fax_number": "989-393-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-10",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.