Lisa Renee Leace, LISW-S, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1000162 Issued in OH

Practice address

11651 Norbourne Dr
Apartment 1708
Cincinnati, OH 45240-2100

Phone

(513) 378-5665

NPI assigned

Mar 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Lisa R Leace Lisw-S Counseling Services LLC

  • Community/Behavioral Health Agency
  • Cincinnati, OH
  • NPI 1861022683
  NPD Authorized official

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1023540317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11651 NORBOURNE DR",
            "address_2": "APARTMENT 1708",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452402100",
            "telephone_number": "513-378-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11651 NORBOURNE DR",
            "address_2": "APARTMENT 1708",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452402100",
            "telephone_number": "513-378-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACE",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "credential": "LISW-S, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1000162",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007063A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chuc Phuc Le, M.D.
• Theodore T Le, M.D.
• Thu Uyen Le, PHARMD
• Thuy Phuong Thi Le, MD
• Gloria Lea--Gray
• David Alan Leach, DDS
• James Lawrence Leach, MD
• Sabrina D Leach, MD
• Terry R Leach, O.D.
• Casey Leadbetter, DPT

• Clinical Social Worker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.