Randi C Leblanc, LMSW

Individual provider Active NPI Clinical Social Worker · Jackson, LA

NPI 1013299502 · NPPES record last updated Jun 7, 2022

Key facts

NPI
1013299502
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
10859 (LA)
Practice address
3501 Highway 10
Jackson, LA 70748-6238
Phone
(225) 683-1360
Fax
(225) 683-1369
NPI assigned
Sep 12, 2011
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
10859LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stones Counseling Center, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: randi.leblanc.p1@direct.rkmprimarycare.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10859 LA Yes

Addresses

Primary practice location

3501 Highway 10
Jackson, LA 70748-6238

Mailing address

PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 7, 2022.

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1013299502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707220395",
            "telephone_number": "225-683-5292",
            "fax_number": "225-683-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 HIGHWAY 10",
            "city": "JACKSON",
            "state": "LA",
            "postal_code": "707486238",
            "telephone_number": "225-683-1360",
            "fax_number": "225-683-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "RANDI",
        "middle_name": "C",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, LA

All providers in Jackson, LA · Clinical Social Worker in Louisiana

Sources for this page

Verify at the official NPI Registry.