Lesley James Head, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6268 Issued in TN

Practice address

5819 Winding LN Ste 133
Hixson, TN 37343-4067

Phone

(423) 933-2575

Fax

(423) 285-6160

NPI assigned

Jan 25, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• River City Counseling PC

  • Mental Health Counselor
  • Hixson, TN
  • NPI 1528329505
  NPD (past)

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1124323969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 E DALLAS RD APT 30",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374052336",
            "telephone_number": "415-999-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 WINDING LN STE 133",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434067",
            "telephone_number": "423-933-2575",
            "fax_number": "423-285-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "LESLEY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-25",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hathaway K Harvey, M.D.
• Thomas Hashway Jr., M.D.
• Cara McKenzie Hauk, PT
• Julie Hwang Haun, MD
• HBD Medical Inc.
• Healthforce Corporation
• Healthforce Medical Group LLC
• Healthsource, Inc.
• Heartfilled Home Healthcare LLC
• Hearts of Hope Counseling LLC

• Clinical Social Worker in Hixson, TN
• Providers in Hixson, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.

Verify at the official NPI Registry.