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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10859 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stepping Stones Counseling Center, LLC | Past | Accepting new patients |
Interoperability endpoints
- randi.leblanc.p1@direct.rkmprimarycare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Phuong Ngoc Huynh
- Lotacha Irvin-Hayes
- Catina Luzinda Johnson
- Paul W Jones
- Elizabeth Krupa
- Keira Lee
- Louisiana War Veterans Home
- Katie Manuel
- Charles Harold Martin
- Patrick G McCrossen
All providers in Jackson, LA · Clinical Social Worker in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.