Individual provider Active NPI

Leslie Morales Oliver

  • Clinical Social Worker
  • Wakefield, RI
National Provider Identifier
1114001393
Registry record updated Jun 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW00708 Issued in RI
Practice address
23 North Rd
Unit a-21
Wakefield, RI 02879-2176
Phone
(401) 789-0810
Fax
(401) 364-0099
NPI assigned
Oct 25, 2006
Last updated
Jun 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2013

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 ISW00708 RI Primary

Addresses

Primary practice location

23 North Rd
Unit a-21
Wakefield, RI 02879-2176

Mailing address

23 North Rd
Unit a-21
Wakefield, RI 02879-2176
Phone (401) 789-0810

Other identifiers 5

IdentifierTypeStateIssuer
406127OtherRIBLUE CHIP
254058OtherRIMAGELLAN HEALTH SERVICES
30667-2OtherRIRI BLUE CROSS BLUE SHIELD
050572443OtherRIUNITED HEALTHCARE; AETNA
1027350OtherRINHPRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20040825000497 RI Practitioner - Clinical Social Worker 1355314287 Practice locations: Wakefield, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23 N Rd
Unit a 21
Wakefield, RI 02879-2176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW00708RIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371945600000",
    "number": "1114001393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 NORTH RD",
            "address_2": "UNIT A-21",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792176",
            "telephone_number": "401-789-0810",
            "fax_number": "401-364-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NORTH RD",
            "address_2": "UNIT A-21",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792176",
            "telephone_number": "401-789-0810",
            "fax_number": "401-364-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES OLIVER",
        "first_name": "LESLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "406127",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH SERVICES",
            "identifier": "254058",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CROSS BLUE SHIELD",
            "identifier": "30667-2",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE; AETNA",
            "identifier": "050572443",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHPRI",
            "identifier": "1027350",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.