Organization Active NPI

Leanne Peterson LLC

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1114386257
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LEANNE PETERSON LLC
Practice address
5311 Kirby Dr
#204
Houston, TX 77005-1364
Phone
(203) 903-7005
NPI assigned
Feb 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Leanne Michelle Peterson, LCSW
Title
Owner/Director
Phone
(203) 903-7005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5311 Kirby Dr
#204
Houston, TX 77005-1364

Mailing address

PO Box 66715
Houston, TX 77266-6715
Phone (203) 903-7005

National Provider Directory

National Provider Directory

Locations

5311 Kirby Dr
Ste 204
Houston, TX 77005
Phone (713) 256-0493

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1114386257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66715",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772666715",
            "telephone_number": "203-903-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 KIRBY DR",
            "address_2": "#204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051364",
            "telephone_number": "203-903-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEANNE PETERSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "203-903-7005",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.