Leah Williamson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09929593 Issued in CO

Practice address

609 Marine Ave
Kenai, AK 99611-6948

Phone

(076) 001-6849

Fax

(907) 308-5882

NPI assigned

Nov 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Leah Fogle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Beyond Limits Counseling

  • Psychiatric/Mental Health Nurse Practitioner
  • Kenai, AK
  • NPI 1073102372

  Clinical

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1215300041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39610 RANCH PL",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118630",
            "telephone_number": "907-600-1684",
            "fax_number": "907-308-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MARINE AVE",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996116948",
            "telephone_number": "076-001-6849",
            "fax_number": "907-308-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "FOGLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abigail Wicker
• Jaala Ann Wicker
• Simeon Nathanael Wicker
• Haley Wik
• Curtis Williams
• Amanda Wilson, FNP
• Kelly Wingster, MS
• Michael J Wolfe, LCSW
• Wesley Ray Woodruff
• Ashley Nicole Woody

• Clinical Social Worker in Kenai, AK
• Providers in Kenai, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.