Individual provider Active NPI

Elizabeth Russ Leinweber, LCSW BCD

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1295890572
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW2595 Issued in AZ
Practice address
1661 N Swan Rd
Suite 234
Tucson, AZ 85712
Phone
(520) 327-5522
Fax
(520) 327-5525
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW2595 AZ Primary
Clinical Social Worker 1041C0700X LCSW1974 LA

Addresses

Primary practice location

1661 N Swan Rd
Suite 234
Tucson, AZ 85712

Mailing address

PO Box 64002
Tucson, AZ 85728
Phone (520) 327-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040910000964 AZ Practitioner - Clinical Social Worker 5698742583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Az Family Therapy LLCGroup PAC ID 4082838487, 3 clinicians

Practice addresses (Care Compare)

1601 N Tucson Blvd
Suite 5
Tucson, AZ 85716-3404
Phone (520) 327-5522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW2595AZMDClinical Social Worker
LCSW1974LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Family Therapy Clinic Inc PastSince Oct 1, 2004 Accepting new patients

Organizations & group practices 2

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295890572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64002",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85728",
            "telephone_number": "520-327-5522",
            "fax_number": "520-327-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 N SWAN RD",
            "address_2": "SUITE 234",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-327-5522",
            "fax_number": "520-327-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEINWEBER",
        "first_name": "ELIZABETH",
        "middle_name": "RUSS",
        "name_prefix": "Ms.",
        "credential": "LCSW BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW2595",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "LCSW1974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.