Dorian Charles Lebeau, MSW, LCSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

54011 Issued in TX

Practice address

4500 S Lancaster Rd BLDG 69
Dallas, TX 75216-7167

Phone

(214) 857-1254

Fax

(214) 462-4944

NPI assigned

Mar 30, 2007

Sex

Male

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

Enrolled in TX

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

Medicare enrollment (NPD)

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.

• Assurasource LTD

  • Clinical Social Worker
  • Plano, TX
  • NPI 1194746016
  Medicare reassignment NPD

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1285754473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W WESTCHESTER PKWY APT 9203",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523275",
            "telephone_number": "419-280-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD BLDG 69",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-857-1254",
            "fax_number": "214-462-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBEAU",
        "first_name": "DORIAN",
        "middle_name": "CHARLES",
        "credential": "MSW, LCSW, LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0900125",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8755",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Leath
• Kayla Leathem, PHARMD
• Penny C. Leatherwood, CNM
• Patrick J Leavey, MD
• Tyler Lebaron
• Bria Vidos Leblanc, CRNA
• Heather Ann Leblanc
• Jessica Shannon Leblanc, PNP-AC
• Katherine Leblanc, DMD
• Kelly Nicole Leblanc, MD

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.