Active NPI
Cassidy Lekan, LCSW, LISW
- Clinical Social Worker
- Erlanger, KY
National Provider Identifier
1083074892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5087
- Practice address
- 313 Madison Pike
Erlanger, KY 41017-9413 - Phone
- (859) 491-4435
- NPI assigned
- Mar 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | I.1303250.SUPV | OH | |
| Clinical Social Worker | 1041C0700X | I.1303250.SUPV | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 131094 | OH | |
| Clinical Social Worker | 1041C0700X | 5087 | KY | Primary |
Addresses
Primary practice location
313 Madison Pike
Erlanger, KY 41017-9413
Mailing address
1650 Russell St
Covington, KY 41011-3361
Phone (859) 392-3304
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0437602 | Medicaid | OH | |
| 7100346650 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131094 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| I.1303250.SUPV | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Cincinnati Behavioral Health Services | Current | Accepting new patients | |
| Greater Cincinnati Behavioral Health Services | Current | Accepting new patients | |
| Greater Cincinnati Behavioral Health Services | Current | Accepting new patients |
Locations
1501 Madison Rd
Walnut Hills, OH 45206
Phone (513) 354-7000
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Walnut Hills, OH
- NPI 1588626097
-
- Community/Behavioral Health Agency
- Walnut Hills, OH
- NPI 1720251788
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1871486183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1083074892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 RUSSELL ST",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410113361",
"telephone_number": "859-392-3304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 MADISON PIKE",
"city": "ERLANGER",
"state": "KY",
"postal_code": "410179413",
"telephone_number": "859-491-4435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEKAN",
"first_name": "CASSIDY",
"credential": "LCSW, LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-07",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.1303250.SUPV",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1303250.SUPV",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "131094",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "5087",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0437602",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100346650",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erlanger, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.