Individual provider Active NPI

Leanne Shirley Black, LEANNE BLACK

  • Clinical Social Worker
  • Littleton, CO
National Provider Identifier
1154477024
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09924182 Issued in CO
Practice address
9962 W Brandt PL
Littleton, CO 80123-7404
Phone
(307) 253-0269
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 465 WY
Clinical Social Worker 1041C0700X CSW.09924182 CO Primary

Addresses

Primary practice location

9962 W Brandt PL
Littleton, CO 80123-7404

Mailing address

9962 W Brandt PL
Littleton, CO 80123-7404
Phone (307) 253-0269

Other names 1

  • Leanne Black Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20200629001231 CO Practitioner - Clinical Social Worker 9133541725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9962 W Brandt PL
Littleton, CO 80123-7404
Phone (307) 253-0269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09924182COMDClinical Social Worker
465WYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Simple Hope Counseling Clinical CurrentSince Jan 14, 2022 Accepting new patients

Organizations & group practices 1

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1154477024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9962 W BRANDT PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801237404",
            "telephone_number": "307-253-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9962 W BRANDT PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801237404",
            "telephone_number": "307-253-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "LEANNE",
        "middle_name": "SHIRLEY",
        "credential": "LEANNE BLACK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "465",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANNE",
            "last_name": "BLACK",
            "credential": "LEANNE BLACK",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.