Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENYATTA LEWIS LCSW
NPI 1780263145
Social Worker - Clinical in Jackson, MS

Active since April 05, 2021
3415 ROSEMARY AVE, JACKSON, MS 39212(601) 918-8712 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 27, 2026, May 5, 2026, Apr 5, 2021 (3 updates tracked since 2021).

About Kenyatta Lewis Lcsw NPPES

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

KENYATTA LEWIS LCSW (NPI 1780263145) is an individual clinical provider in Jackson, Mississippi, licensed in Mississippi (C11502) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1780263145
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENYATTA LEWISCredential: LCSW
Location Address3415 ROSEMARY AVEJackson, MS 39212-4153
Mailing Address3415 Rosemary AveJackson, MS 39212-4153 · (601) 918-8712
Sole ProprietorNo
Enumeration DateApril 5, 2021
Last NPPES UpdateOctober 27, 20263 updates tracked since enumeration
NPPES CertifiedOctober 27, 2026
✔ NPI 1780263145 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 MS · C11502✔ Licensed in MA · LICSW1144174
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.
3415 ROSEMARY AVE, Jackson, MS 39212

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenyatta Lewis's NPI number?

The NPI number for Kenyatta Lewis is 1780263145. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Kenyatta Lewis located?

Kenyatta Lewis practices at 3415 Rosemary Ave, Jackson, MS 39212. The listed phone number is (601) 918-8712.

What is Kenyatta Lewis's specialty?

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

What insurance does Kenyatta Lewis accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Kenyatta Lewis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenyatta Lewis was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.