Individual provider Active NPI

Leslie Jane Hall

  • Clinical Social Worker
  • Okemos, MI
National Provider Identifier
1245669530
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801083026 Issued in MI
Practice address
2395 Jolly Rd Ste 195
Okemos, MI 48864-5987
Phone
(517) 336-4335
Fax
(517) 548-0498
NPI assigned
Nov 6, 2013
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801083026 MI Primary

Addresses

Primary practice location

2395 Jolly Rd Ste 195
Okemos, MI 48864-5987

Mailing address

2395 Jolly Rd Ste 195
Okemos, MI 48864-5987
Phone (517) 336-4335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190122001245 MI Practitioner - Clinical Social Worker 2769729342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Community ResourcesGroup PAC ID 8628248119, 3 clinicians

Practice addresses (Care Compare)

2395 Jolly Rd
Suite 195
Okemos, MI 48864-5987
Phone (517) 336-4335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801083026MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Community Resources CurrentSince Aug 1, 2021 Accepting new patients

Locations

2395 Jolly Rd
Ste 195
Okemos, MI 48864
Phone (517) 336-4335

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.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1245669530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 JOLLY RD STE 195",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488645987",
            "telephone_number": "517-336-4335",
            "fax_number": "517-548-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 JOLLY RD STE 195",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488645987",
            "telephone_number": "517-336-4335",
            "fax_number": "517-548-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "LESLIE",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801083026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.