Active NPI
Kelly A Lewis, LMSW
- Clinical Social Worker
- Saginaw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801087320
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801087320 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly Lewis Counseling & Healing LLC | Clinical | Current | Accepting new patients |
| McDowell Healing Arts Center LLC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.