Individual provider Active NPI

Leona Dillingham, MSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1255676847
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5200 Washington Ave
Ste D
Evansville, IN 47715-4863
Phone
(812) 437-1700
Fax
(812) 437-1702
NPI assigned
Dec 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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 Primary

Addresses

Primary practice location

5200 Washington Ave
Ste D
Evansville, IN 47715-4863

Mailing address

3101 N Green River Rd
Suite 910
Evansville, IN 47715-1369
Phone (812) 479-1916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170131000566 IN Practitioner - Clinical Social Worker 1759663578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5200 Washington Ave
Suite D
Evansville, IN 47715-4863
Phone (812) 437-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dillingham Counseling Services CurrentSince Jun 3, 2019 Accepting new patients
Luzio & Associates Behavioral Services, Inc. Clinical PastSince Jun 3, 2010 Accepting new patients
Luzio & Associates Behavioral Services, Inc. Clinical Past Accepting new patients

Locations

4601 Bayard Park Dr
Ste D
Evansville, IN 47714
Phone (812) 437-1700

5200 Washington Ave
Fl 3
Evansville, IN 47715
Phone (812) 205-7270

5200 Washington Ave
Ste D
Evansville, IN 47715
Phone (812) 437-1700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1255676847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N GREEN RIVER RD",
            "address_2": "SUITE 910",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477151369",
            "telephone_number": "812-479-1916",
            "fax_number": "812-479-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WASHINGTON AVE",
            "address_2": "STE D",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154863",
            "telephone_number": "812-437-1700",
            "fax_number": "812-437-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLINGHAM",
        "first_name": "LEONA",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.