Individual provider Active NPI

Leilani Diane Mason, LCSW

  • Clinical Social Worker
  • Atmore, AL
National Provider Identifier
1164715629
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3629C Issued in AL
Practice address
3421 Highway 21
Atmore, AL 36502-4669
Phone
(251) 333-2777
Fax
(251) 241-7202
NPI assigned
May 17, 2011
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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 3629C AL Primary

Addresses

Primary practice location

3421 Highway 21
Atmore, AL 36502-4669

Mailing address

5020 Highway 164
MC David, FL 32568-1917
Phone (850) 982-3670

Other practice location 1

293 Plantation Hill Rd
Gulf Breeze, FL 32561-4861
Phone (850) 525-9295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240320001653 AL Practitioner - Clinical Social Worker 9335586866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Minds Consulting LLCGroup PAC ID 4981041415, 4 clinicians

Practice addresses (Care Compare)

3421 Hwy 21
Atmore, AL 36502-4669
Phone (251) 333-2777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Minds Consulting LLC CurrentSince Feb 21, 2024 Accepting new patients

Locations

100 N Main St
Ste A
Atmore, AL 36502

3421 Highway 21
Atmore, AL 36502
Phone (251) 333-2777

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1164715629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 HIGHWAY 164",
            "city": "MC DAVID",
            "state": "FL",
            "postal_code": "325681917",
            "telephone_number": "850-982-3670",
            "fax_number": "251-241-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 HIGHWAY 21",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365024669",
            "telephone_number": "251-333-2777",
            "fax_number": "251-241-7202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "293 Plantation Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325614861",
            "country_code": "US",
            "telephone_number": "850-525-9295",
            "fax_number": "850-934-9188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "LEILANI",
        "middle_name": "DIANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3629C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atmore, AL

Sources for this page

Verify at the official NPI Registry.