Active NPI
Leah B Ghali, LICSW
- Clinical Social Worker
- Woodbury, MN
National Provider Identifier
1164910311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20321
- Practice address
- 659 Bielenberg Dr
Woodbury, MN 55125-1706 - Phone
- (952) 737-4504
- Fax
- (651) 259-9780
- NPI assigned
- Apr 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20321 | MN | Primary |
Addresses
Primary practice location
659 Bielenberg Dr
Woodbury, MN 55125-1706
Mailing address
659 Bielenberg Dr
Woodbury, MN 55125-1706
Phone (985) 737-4504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 12, 2024 through Feb 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1164910311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 BIELENBERG DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251706",
"telephone_number": "985-737-4504",
"fax_number": "651-259-9780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "659 BIELENBERG DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251706",
"telephone_number": "952-737-4504",
"fax_number": "651-259-9780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHALI",
"first_name": "LEAH",
"middle_name": "B",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-24",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "20321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.