Active NPI
Leslie Ann Lobel Juba, CSW
- Clinical Social Worker
- Davie, FL
National Provider Identifier
1184160046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW11881
- Practice address
- 2924 Davie Rd Ste 103
Davie, FL 33314-1615 - Phone
- (855) 284-7483
- NPI assigned
- Jan 16, 2017
- 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 | SW11881 | FL | Primary |
Addresses
Primary practice location
2924 Davie Rd Ste 103
Davie, FL 33314-1615
Mailing address
PO Box 748465
Atlanta, GA 30374-8465
Other practice location 1
633 NE 167th St
Suite 1109
Miami, FL 33162-2442
Phone (954) 695-1258
Other names 1
- Leslie Juba
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW11881 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Counseling of South Florida LLC | Clinical | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Fort Lauderdale, FL
- NPI 1396360996
-
- Family Health Clinical Nurse Specialist
- Miami Gardens, FL
- NPI 1114317013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1184160046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748465",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2924 DAVIE RD STE 103",
"city": "DAVIE",
"state": "FL",
"postal_code": "333141615",
"telephone_number": "855-284-7483"
}
],
"practiceLocations": [
{
"address_1": "633 NE 167th St",
"address_2": "SUITE 1109",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331622442",
"country_code": "US",
"telephone_number": "954-695-1258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOBEL JUBA",
"first_name": "LESLIE",
"middle_name": "ANN",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-16",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW11881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "JUBA",
"credential": "CSW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.