Active NPI
Madeline Leitner, MSW, LCSW
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1194295220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 8780 Big Bend Blvd
Saint Louis, MO 63119-3779 - Phone
- (314) 884-1511
- NPI assigned
- Dec 2, 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 | Primary |
Addresses
Primary practice location
8780 Big Bend Blvd
Saint Louis, MO 63119-3779
Mailing address
PO Box 63096
Saint Louis, MO 63163-3096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collective Wellness, LLC | Clinical | Current | Accepting new patients |
Locations
9666 Olive Blvd
Ste 205
Saint Louis, MO 63132
Phone (314) 390-8107
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.
-
- Clinical Social Worker
- Olivette, MO
- NPI 1558835033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605312000000",
"number": "1194295220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63096",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631633096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8780 BIG BEND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631193779",
"telephone_number": "314-884-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITNER",
"first_name": "MADELINE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-02",
"last_updated": "2020-11-14",
"certification_date": "2020-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.