Active NPI
Leslie E Gagne, LISW, LICDC
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1205975570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I7498
- Practice address
- 941 Chatham LN
Suite 103
Columbus, OH 43221-2416 - Phone
- (614) 451-9401
- Fax
- (614) 451-8113
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | I7498 | OH | Primary |
Addresses
Primary practice location
941 Chatham LN
Suite 103
Columbus, OH 43221-2416
Mailing address
941 Chatham LN
Suite 103
Columbus, OH 43221-2416
Phone (614) 451-9401
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I7498 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martha a Liscano, Inc | Clinical | Past | Accepting new patients |
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
- Columbus, OH
- NPI 1285985564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360281600000",
"number": "1205975570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 CHATHAM LN",
"address_2": "SUITE 103",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432212416",
"telephone_number": "614-451-9401",
"fax_number": "614-451-8113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 CHATHAM LN",
"address_2": "SUITE 103",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432212416",
"telephone_number": "614-451-9401",
"fax_number": "614-451-8113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGNE",
"first_name": "LESLIE",
"middle_name": "E",
"credential": "LISW, LICDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2013-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I7498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.