DALE LEWIS – Social Worker, NPI 1235704792

DALE LEWIS is a healthcare provider. based in Bad axe, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 6801109884 (MI). The NPI Number for DALE LEWIS is 1235704792

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DALE LEWIS
NPI
1235704792
Phone
(989) 269-9293
Address
1375 R DALE WERTZ DR
Enumeration Date
26 May 2021
Last Update Date
26 May 2021

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8104048362
Graduation Year
2021 (5 years ago)
PAC ID
9739549635
Group Practice PAC ID
9133347354
Professional Enrollment ID
I20230724000987
Address ID
MI484508800LE5730XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for DALE LEWIS

  • 1375 R DALE WERTZ DR

    BAD AXE, MI 484131365

    Phone: (989) 269-9293

    Fax: (989) 269-7544

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230724000987IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48413)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133347354View full group profile
NameSpecialtyState
Clinical PsychologistMI
-MI
Mental Health CounselorMI
Physician AssistantMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
-MI

Reviews

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Frequently asked questions

What is DALE LEWIS's NPI number?
DALE LEWIS's NPI is 1235704792 — the number used across U.S. healthcare to identify this provider.
Is DALE LEWIS shown as active in public data?
Registry records indicate DALE LEWIS maintains an active NPI.
What expertise is attributed to DALE LEWIS?
DALE LEWIS's specialty line reads Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DALE LEWIS?
Travel planning: use Bad Axe, Michigan as the reference point for DALE LEWIS, then confirm.
When was this NPI issued?
Enumeration for DALE LEWIS is noted as May 26, 2021 where the registry provides it.

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