Organization Active NPI

Leeman LCSW LLC

  • Clinical Social Worker
  • Brentwood, MO
National Provider Identifier
1063081776
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LEEMAN LCSW LLC
Practice address
8790 Manchester Rd Ste 205D
Brentwood, MO 63144-2731
Phone
(636) 686-0692
NPI assigned
Jun 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Authorized official

Name
Daniel J Leeman, LCSW
Title
Ownder
Phone
(636) 686-0692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8790 Manchester Rd Ste 205D
Brentwood, MO 63144-2731

Mailing address

8790 Manchester Rd Ste 205D
Brentwood, MO 63144-2731
Phone (636) 686-0692

National Provider Directory

National Provider Directory

Locations

8790 Manchester Rd
Ste 205D
Saint Louis, MO 63144
Phone (636) 393-8575

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1063081776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8790 MANCHESTER RD STE 205D",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631442731",
            "telephone_number": "636-686-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 MANCHESTER RD STE 205D",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631442731",
            "telephone_number": "636-686-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEMAN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "LEEMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "636-686-0692",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.