LEAH MARIE LEWIS LICSW
NPI 1053973719
Social Worker - Clinical in Plymouth, MN

Q: What is Leah Lewis's NPI number?

The NPI number for Leah Lewis is 1053973719. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Q: What is Leah Lewis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Leah Lewis was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 02, 2019PECOS Enrolled

2855 CAMPUS DR STE 660, PLYMOUTH, MN 55441(763) 577-7900(763) 577-7905 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2026, Apr 12, 2023, Jul 2, 2019 (3 updates tracked since 2019).

On this page

About Leah Marie Lewis Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH MARIE LEWIS LICSW (NPI 1053973719) is an individual clinical provider in Plymouth, Minnesota, licensed in Minnesota (35600) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bend, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053973719

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLEAH MARIE LEWISCredential: LICSW

Location Address2855 CAMPUS DR STE 660Plymouth, MN 55441-2665

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000

Phone(763) 577-7900

Fax(763) 577-7905

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 2, 2019

Last NPPES UpdateMarch 24, 20263 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1053973719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in MN · 35600✔ Licensed in OR · L11238

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2855 CAMPUS DR STE 660, Plymouth, MN 55441

Open in Google Maps ↗

Secondary Practice Location 1

Location 163311 Jamison StBend, OR 97703-8288 · Phone (541) 585-7210 · Fax (541) 322-7565

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leah Marie Lewis Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628443538

PECOS Enrollment IDI20260202001023

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55441 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JADE NICOLE AHLSTRAND MS, NCC, PILT, LPCC

Counselor (Professional)