Active NPI
Leslie Fitzwater, LCSW
- Clinical Social Worker
- Roswell, NM
National Provider Identifier
1023799509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWB-2025-1396
- Practice address
- 300 S Lea Ave # 4
Roswell, NM 88203-4562 - Phone
- (575) 347-1883
- Fax
- (737) 201-2725
- NPI assigned
- Jul 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SWB-2025-1396 | NM | Primary |
| Social Worker | 104100000X | SWB20220948 | NM |
Addresses
Primary practice location
300 S Lea Ave # 4
Roswell, NM 88203-4562
Mailing address
PO Box 102
Roswell, NM 88202-0102
Phone (575) 347-1883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85109801 | Medicaid | NM |
Other names 1
- Leslie Rhudy, McDaniel, Moore, Fairfield
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
300 S Lea Ave
Suite 4
Roswell, NM 88203-4562
Phone (575) 347-1883
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWB20220948 | NM | MD | Social Worker |
| SWB-2025-1396 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roswell Infusions LLC | Social Worker | Current | Accepting new patients |
| Azurite Services PC | Current | Accepting new patients |
Locations
204 W 2nd St
Ste 2
Roswell, NM 88201
Phone (575) 755-5555
313 W Country Club Rd
Ste 9
Roswell, NM 88201
Phone (575) 347-1883
300 S Lea Ave
#4
Roswell, NM 88203
Phone (575) 347-1883
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Roswell, NM
- NPI 1174231484
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Roswell, NM
- NPI 1932650041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1023799509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882020102",
"telephone_number": "575-347-1883",
"fax_number": "737-201-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S LEA AVE # 4",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882034562",
"telephone_number": "575-347-1883",
"fax_number": "737-201-2725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZWATER",
"first_name": "LESLIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-27",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "SWB-2025-1396",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "SWB20220948",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85109801",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "RHUDY, MCDANIEL, MOORE, FAIRFIELD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.