Carlie Jo Richard Leblanc, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C10540 Issued in MS

Practice address

206 W Jackson St Ste 100
Ridgeland, MS 39157-2310

Phone

(601) 780-9074

NPI assigned

Jan 26, 2018

Last updated

May 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1235637067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 AUDUBON POINT DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476442",
            "telephone_number": "601-780-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W JACKSON ST STE 100",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572310",
            "telephone_number": "601-780-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "CARLIE",
        "middle_name": "JO RICHARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "14645",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C10540",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Layson Counseling Group, PLLC
• Courtney Gray Layson, MA, LPC
• LD-Ridgeland, LLC (Lake Harbour Dental)
• Tia Shardai Leake
• Demetrica Leavy
• Joshua Ledford, NP
• Jennifer Rose Lee, COTA
• Shayla Lee, PMHNP-BC
• Stacey C Lee, DPT
• Lefleur Behavioral Health, PLLC

• Clinical Social Worker in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.