Individual provider Active NPI

Leshawn Dandridge, MSW

  • Social Worker
  • Vashon, WA
National Provider Identifier
1306562236
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
20110 Vashon Hwy SW
Vashon, WA 98070-6026
Phone
(206) 463-5511
NPI assigned
Oct 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

20110 Vashon Hwy SW
Vashon, WA 98070-6026

Mailing address

5047 Delridge Way SW Apt C
Seattle, WA 98106-1361
Phone (206) 966-1279

Other practice location 1

9822 SW Gorsuch Rd
Vashon, WA 98070-4903
Phone (206) 463-5502

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vashon Youth and Family Services PastSince Oct 16, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1306562236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5047 DELRIDGE WAY SW APT C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981061361",
            "telephone_number": "206-966-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20110 VASHON HWY SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980706026",
            "telephone_number": "206-463-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9822 SW Gorsuch Rd",
            "address_purpose": "LOCATION",
            "city": "Vashon",
            "state": "WA",
            "postal_code": "980704903",
            "country_code": "US",
            "telephone_number": "206-463-5502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANDRIDGE",
        "first_name": "LESHAWN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vashon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.