Individual provider Active NPI

Leigha Suzanne Jolin, MSW, LCSW

  • Clinical Social Worker
  • Rhinelander, WI
National Provider Identifier
1124757570
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11682-123 Issued in WI
Practice address
1630 N Chippewa Dr
Rhinelander, WI 54501-9503
Phone
(715) 361-2805
Fax
(715) 361-2920
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 11682-123 WI Primary

Addresses

Primary practice location

1630 N Chippewa Dr
Rhinelander, WI 54501-9503

Mailing address

5738 Breezy Pine Rd
Rhinelander, WI 54501-7504
Phone (920) 588-0488

Other practice location 1

2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240412002216 WI Practitioner - Clinical Social Worker 7113366923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1630 Chippewa Dr
Rhinelander, WI 54501-9503
Phone (715) 361-5480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Mar 2, 2024 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Mar 2, 2024 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

930 E Wall St
Eagle River, WI 54521
Phone (715) 477-3000

1020 Kabel Ave
Rhinelander, WI 54501
Phone (715) 361-2805

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

1630 N Chippewa Dr
Rhinelander, WI 54501
Phone (715) 361-5480

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1124757570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5738 BREEZY PINE RD",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545017504",
            "telephone_number": "920-588-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 N CHIPPEWA DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545019503",
            "telephone_number": "715-361-2805",
            "fax_number": "715-361-2920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2251 N Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Rhinelander",
            "state": "WI",
            "postal_code": "545016710",
            "country_code": "US",
            "telephone_number": "715-361-2020",
            "fax_number": "715-361-2021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOLIN",
        "first_name": "LEIGHA",
        "middle_name": "SUZANNE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11682-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

Verify at the official NPI Registry.