Individual provider Active NPI

Victoria Lewis, LCSW

  • Clinical Social Worker
  • Harvey, LA
National Provider Identifier
1972898252
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3405 Issued in LA
Practice address
1448 Macarthur Ave
Harvey, LA 70058-2454
Phone
(504) 339-0833
Fax
(504) 392-3227
NPI assigned
Jun 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1078 LA
Mental Health Counselor 101YM0800X 3405 LA
Pastoral Counselor 101YP1600X LA
Professional Counselor 101YP2500X 3405 LA
Clinical Social Worker 1041C0700X 3405 LA Primary

Addresses

Primary practice location

1448 Macarthur Ave
Harvey, LA 70058-2454

Mailing address

PO Box 2988
Harvey, LA 70059-2988
Phone (504) 339-0833

Other identifiers 1

IdentifierTypeStateIssuer
3405OtherLALCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160125000822 LA Practitioner - Clinical Social Worker 5698078715 Practice locations: Gretna, LA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3405LAMDMental Health Counselor
1078LAMDPrevention Professional

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Community Medical Clinic Mental Health CurrentSince Mar 1, 2022 Accepting new patients

Locations

8451 Highway 23
Ste 1
Belle Chasse, LA 70037
Phone (504) 417-3728

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25951/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1972898252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2988",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700592988",
            "telephone_number": "504-339-0833",
            "fax_number": "504-392-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 MACARTHUR AVE",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582454",
            "telephone_number": "504-339-0833",
            "fax_number": "504-392-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1078",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "3405",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3405",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "3405",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

Verify at the official NPI Registry.