Jason M. Leslie, LICSW, PIP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1658-4698C Issued in AL

Practice address

3311 Bob Wallace Ave SW Ste 103
Huntsville, AL 35805-4064

Phone

(256) 258-9341

NPI assigned

Sep 21, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thrive Trauma, Inc.

  • Counselor
  • Birmingham, AL
  • NPI 1073050290
  Medicare reassignment NPD
• Happi Health

  • Federally Qualified Health Center (FQHC)
  • Huntsville, AL
  • NPI 1528580404
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1013426121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 23RD ST S STE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052462",
            "telephone_number": "256-533-1970",
            "fax_number": "256-705-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 BOB WALLACE AVE SW STE 103",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358054064",
            "telephone_number": "256-258-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "JASON",
        "middle_name": "M.",
        "credential": "LICSW, PIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-21",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1658-4698C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330000014",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maranda Lentz
• Matthew Spencer Lentz, PA
• Leon W. Lewis M.D., P.C.
• Nathaly Zuniga Leos
• Alicia Leslie, M.S., BCBA
• Lindsay Rachel Lester, PHARMD
• Megan Kelley Lester, RD
• Let US Assist Home Care LLC
• Let US Assit Home Care LLC
• Marie C Letson, O.D.

• Clinical Social Worker in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.