Individual provider Active NPI

Leslie Lynne Dicosola, LMSW

  • Social Worker
  • Hartland, MI
National Provider Identifier
1174828172
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801091780 Issued in MI
Practice address
11750 Highland Rd Ste 140
Hartland, MI 48353-2729
Phone
(810) 746-9091
NPI assigned
Jan 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801091780 MI Primary

Addresses

Primary practice location

11750 Highland Rd Ste 140
Hartland, MI 48353-2729

Mailing address

1968 Scenic Dr
Milford, MI 48380-2029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110414000372 MI Practitioner - Clinical Social Worker 0941484034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartland Individual and Family Services LLCGroup PAC ID 8921416033, 3 clinicians

Practice addresses (Care Compare)

11202 Highland Rd
Hartland, MI 48353-2704
Phone (810) 746-9091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hartland Individual and Family Services LLC Social Worker CurrentSince Jun 24, 2022 Accepting new patients
Sollars and Associates CurrentSince Feb 8, 2016 Accepting new patients

Locations

725 S Adams Rd
Ste 235
Birmingham, MI 48009
Phone (248) 593-9276

11750 Highland Rd
Ste 140
Hartland, MI 48353
Phone (248) 709-2109

11202 Highland Rd
Hartland, MI 48353
Phone (810) 279-0537

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": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1174828172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 SCENIC DR",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483802029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 HIGHLAND RD STE 140",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532729",
            "telephone_number": "810-746-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICOSOLA",
        "first_name": "LESLIE",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801091780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, MI

Sources for this page

Verify at the official NPI Registry.