ELAINE LEWIS (NPI# 1114553773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114553773 |
| Entity Type | Individual |
| Full Name | ELAINE LEWIS |
| Credential | BSW |
| Practice Address |
292 Glades Rd Ste 8 Berea KY 40403-1368 |
| Mailing Address |
Po Box 802 Berea KY 40403-0802 |
| Practice Telephone | 8599857862 |
| Practice Fax Number | 8599997869 |
| Mailing Telephone | 8599857862 |
| Mailing Fax Number | 8599997869 |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 451 Big Hill Ave Ste 5, Richmond, KY 404752596 | 8599857862 | 8599997869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639415243 | Elaine Y Lewis | Specialist | 205 Queensland Ln, Covington, GA 30016-3100 | 2012-12-31 |
| 1578763439 | Elaine W Lewis | Counselor | 5248 Southern Blvd, Youngstown, OH 44512-2242 | 2007-07-19 |
| 1417161480 | Elaine Susan Lewis | Occupational Therapist | 5736 E New York St, Indianapolis, IN 46219-5920 | 2007-05-09 |
| 1922365261 | Elaine Lewis | Home Health Aide | 1707 L St Nw, Suite 900, Washington, DC 20036-4201 | 2012-04-11 |
| 1538382742 | Elaine Lewis Sr. | Social Worker | 6929 Mariner Dr, Racine, WI 53406-3938 | 2007-04-10 |
| 1851383657 | Elaine Marie Lewis | Internal Medicine | 1147 E Main St, Lancaster, OH 43130-4056 | 2005-08-17 |
| 1487659033 | Elaine R. Lewis | Radiology | 301 S 7th Ave, Ste 135, West Reading, PA 19611-1442 | 2005-06-19 |
| Street Address |
292 GLADES RD STE 8 |
| City | BEREA |
| State | KY |
| Zip Code | 40403-1368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659420701 | Rachel V Fraley | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2007-01-09 |
| 1811509235 | Casey Farris | Counselor | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2020-08-18 |
| 1447809736 | Amber Savannah Rose | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2019-09-09 |
| 1952963282 | Jennifer R. Hamblin | Nurse Practitioner | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2019-07-08 |
| 1639739824 | Ashleigh Brooke Martin | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2019-06-19 |
| 1902379761 | Elisha Stuppy | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2019-01-04 |
| 1245703214 | Debra Carrier | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2019-01-02 |
| 1083182570 | Laura Weitkamp | Counselor | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2018-11-02 |
| 1912474487 | George Sparks | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2018-11-01 |
| 1649775248 | Karissa L Anderson | Counselor | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2018-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1639485261 | Donna Saunders Eastham | Case Manager/Care Coordinator | 246 Marcellus Dr, Berea, KY 40403-2078 | 2010-08-20 |
| 1922230903 | Jamie Leeann Shepperson | Case Manager/Care Coordinator | 143 Newport Ln, Berea, KY 40403-8053 | 2009-08-10 |
| 1659420701 | Rachel V Fraley | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2007-01-09 |
| 1013077296 | Robin G Beaver | Case Manager/Care Coordinator | 84 Ridge Ave, Berea, KY 40403-1880 | 2006-12-11 |
| 1376161265 | Tyler Planck | Case Manager/Care Coordinator | 1000 Ace Dr, Berea, KY 40403-1327 | 2020-07-08 |
| 1093338378 | D'anthony Hanible | Case Manager/Care Coordinator | 398 W Bagley Rd Ste 216, Berea, OH 44017-1312 | 2020-05-21 |
| 1497378772 | Robert Guy | Case Manager/Care Coordinator | 398 W Bagley Rd Ste 216, Berea, OH 44017-1312 | 2020-05-21 |
| 1639720626 | Nicole Yvette Brooks | Case Manager/Care Coordinator | 398 W Bagley Rd, Berea, OH 44017-1369 | 2019-09-22 |
| 1447809736 | Amber Savannah Rose | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2019-09-09 |
| Find all providers in BEREA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.