Robert Eugene Leeburg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW104258 Issued in CA

Practice address

15315 Magnolia Blvd Ste 400
Sherman Oaks, CA 91403-1175

Phone

(818) 860-1223

Fax

(818) 302-8182

NPI assigned

Mar 23, 2016

Sex

Male

Sole proprietor

No

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 CA

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

Specialty

Clinical Social Worker

Education

University of Southern California Keck School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Cross Cultural Expressions

  • Community/Behavioral Health Agency
  • Encino, CA
  • NPI 1497203939

  CA

  Medicare reassignment
• Advanced Mental Health Center, Inc.

  • Clinical Psychologist
  • Encino, CA
  • NPI 1881140929
  NPD (past)

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1124480645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 SANTA MONICA BLVD APT 409",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292326",
            "telephone_number": "323-313-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15315 MAGNOLIA BLVD STE 400",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031175",
            "telephone_number": "818-860-1223",
            "fax_number": "818-302-8182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5425 Santa Monica Blvd Apt 409",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900292326",
            "country_code": "US",
            "telephone_number": "323-313-7558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEEBURG",
        "first_name": "ROBERT",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW104258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A. Lee, DMD
• Samara Lee
• Solanda T Lee, PHYSICIAN ASSISTANT
• Teak K Lee, PHARM. D.
• Toby Lee
• Brandon Lefton
• Victoria Legein
• Stephanie Suzanne Lehman, MA, MFT
• Lehrhoff & Associcates, Inc
• Ziyi Lei

• All providers in Sherman Oaks, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.