Individual provider Active NPI

Leslie Kiyanfar, LCSW

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1033463203
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7233 Issued in LA
Practice address
701 Papworth Ave
Ste 208
Metairie, LA 70005-4923
Phone
(985) 688-5386
NPI assigned
Nov 8, 2012
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7233 LA Primary

Addresses

Primary practice location

701 Papworth Ave
Ste 208
Metairie, LA 70005-4923

Mailing address

1000 Bourbon St
Ste 284
New Orleans, LA 70116-2708
Phone (985) 688-5386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20130424000300 LA Practitioner - Clinical Social Worker 4082850870 Practice locations: Metairie, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

701 Papworth Ave
Suite 208
Metairie, LA 70005-4923
Phone (985) 688-5386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7233LAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Leslie Kiyanfar Clinical CurrentSince Mar 1, 2013 Accepting new patients

Locations

4266 W Main St
Ste 100
Gray, LA 70359
Phone (985) 209-0357

701 Papworth Ave
Ste 208
Metairie, LA 70005
Phone (504) 913-8104

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1033463203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOURBON ST",
            "address_2": "STE 284",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701162708",
            "telephone_number": "985-688-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PAPWORTH AVE",
            "address_2": "STE 208",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054923",
            "telephone_number": "985-688-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIYANFAR",
        "first_name": "LESLIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "7233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.