Leslie Pertz, LMSW, Nic, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093183 Issued in MI

Legal business name

LESLIE PERTZ, LMSW, NIC, PLLC

Practice address

2035 Hogback Rd
Ste 210
Ann Arbor, MI 48105-9732

Phone

(734) 926-8590

NPI assigned

Jan 25, 2017

Organization subpart

No

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

Authorized official

Name

Leslie Pertz, LMSW

Title

Owner

Phone

(517) 214-4724

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1144767419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 LILLIAN RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 HOGBACK RD",
            "address_2": "STE 210",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059732",
            "telephone_number": "734-926-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE PERTZ, LMSW, NIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "PERTZ",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-214-4724",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1922425529",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emilie Lerner, PH.D.
• Howard Davis Lerner, PH.D.
• Kasey Lynne Lerner
• Sarah Stewart Leroy, RN, MSN, CPNP
• Holly M Leshinsky, RN
• Karmen Leslie
• Sarah Leslie, ATC
• Lauren Lesmeister
• Stephanie Lesmes
• Marci Marie Lesperance, MD

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.