Individual provider Active NPI

Marc Todd Lewis, LCSW

  • Clinical Social Worker
  • Asheboro, NC
National Provider Identifier
1982907903
Registry record updated Sep 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007342 Issued in NC
Practice address
111 Davis St Ste D
Asheboro, NC 27203-5485
Phone
(336) 625-8594
Fax
(336) 217-7972
NPI assigned
Dec 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2021

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 C007342 NC Primary

Addresses

Primary practice location

111 Davis St Ste D
Asheboro, NC 27203-5485

Mailing address

288 Waterfront CT
Asheboro, NC 27203-3000
Phone (336) 625-8594

Other names 1

  • Mr. Marc Todd Lewis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, UT, SC, DC, ID5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20130307000023 NC Practitioner - Clinical Social Worker 5294980751 Reassigns benefits to 2 organizations
Practice locations: Asheboro, NC
I20221206002443 UT Practitioner - Clinical Social Worker 5294980751 Reassigns benefits to 1 organization
I20240314003630 SC Practitioner - Clinical Social Worker 5294980751 Reassigns benefits to 1 organization
I20240921000177 DC Practitioner - Clinical Social Worker 5294980751 Reassigns benefits to 1 organization
I20241204004572 ID Practitioner - Clinical Social Worker 5294980751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

5373 S Green St
Suite 400
Murray, UT 84123-4740
Phone (801) 442-2615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C007342NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Aug 24, 2022 Accepting new patients
Ihc Health Services Inc CurrentSince Aug 24, 2022 Accepting new patients
Horizon Internal Medicine PLLC CurrentSince May 14, 2021 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 1, 2023 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
NC Elder Care PLLC PastSince Apr 1, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

138 Dublin Square Rd
Ste B
Asheboro, NC 27203
Phone (336) 610-1300

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

1380 Eastchester Dr
Ste 105
High Point, NC 27265
Phone (336) 610-1300

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

5373 S Green St
Ste 400
Salt Lake City, UT 84123
Phone (801) 442-2615

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Interoperability endpoints

  • Direct secure messaging: marclewis@tdh.allscriptsdirect.net

Organizations & group practices 7

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": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632009600000",
    "number": "1982907903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 WATERFRONT CT",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272033000",
            "telephone_number": "336-625-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DAVIS ST STE D",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035485",
            "telephone_number": "336-625-8594",
            "fax_number": "336-217-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARC",
        "middle_name": "TODD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-14",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARC",
            "last_name": "LEWIS",
            "middle_name": "TODD",
            "prefix": "MR.",
            "credential": "LCSW, LCAS, CCM, BCD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.