Individual provider Active NPI

Leslie Ramage, LCSW

  • Clinical Social Worker
  • Medford, OR
National Provider Identifier
1003670365
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L11548 Issued in OR
Practice address
122 E Main St Ste 400-68
Medford, OR 97501-6004
Phone
(503) 551-7713
NPI assigned
Feb 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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 L11548 OR Primary

Addresses

Primary practice location

122 E Main St Ste 400-68
Medford, OR 97501-6004

Mailing address

122 E Main St Ste 400-68
Medford, OR 97501-6004
Phone (503) 551-7713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240305001598 OR Practitioner - Clinical Social Worker 9537504162 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Psych Consultants, LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

835 Crater Lake Ave
Medford, OR 97504
Phone (541) 507-4141

Organizations & group practices 1

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": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1003670365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E MAIN ST STE 400-68",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975016004",
            "telephone_number": "503-551-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E MAIN ST STE 400-68",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975016004",
            "telephone_number": "503-551-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMAGE",
        "first_name": "LESLIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.