Active NPI
Leslie Jensen Sheeler, LCSW
- Clinical Social Worker
- Crawfordsville, IN
National Provider Identifier
1245261585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34006180A
- Practice address
- 701 N Englewood Dr
Crawfordsville, IN 47933-9744 - Phone
- (765) 361-9767
- Fax
- (765) 361-0374
- NPI assigned
- Jul 5, 2006
- Last updated
- May 13, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 34006180A | IN | Primary |
Addresses
Primary practice location
701 N Englewood Dr
Crawfordsville, IN 47933-9744
Mailing address
609 Parker Oaks Way
Brownsburg, IN 46112-2146
Phone (414) 899-6675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000708725 | Other | IN | ANTHEM BCBS |
Other names 1
- Leslie Ann Jensen
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cummins Behavioral Health Systems, Incorporated | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Avon, IN
- NPI 1740232115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1245261585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 PARKER OAKS WAY",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461122146",
"telephone_number": "414-899-6675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N ENGLEWOOD DR",
"city": "CRAWFORDSVILLE",
"state": "IN",
"postal_code": "479339744",
"telephone_number": "765-361-9767",
"fax_number": "765-361-0374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEELER",
"first_name": "LESLIE",
"middle_name": "JENSEN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006180A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000708725",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "JENSEN",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Crawfordsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.