Individual provider Active NPI

Leslie Alisha Smith, LICSW

  • Clinical Social Worker
  • Madison, AL
National Provider Identifier
1306657184
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6099C Issued in AL
Practice address
350 Sun Temple Dr
Madison, AL 35758-5919
Phone
(256) 701-5651
Fax
(256) 429-9411
NPI assigned
Jan 20, 2025
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 6099C AL Primary

Addresses

Primary practice location

350 Sun Temple Dr
Madison, AL 35758-5919

Mailing address

600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 975-4291

Other names 1

  • Leslie Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250206001568 AL Practitioner - Clinical Social Worker 7315477361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Behavioral Health IncGroup PAC ID 7416194113, 109 clinicians

Practice addresses (Care Compare)

350 Sun Temple Dr
Madison, AL 35758-5919
Phone (256) 288-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Russellville Hospital Inc CurrentSince Jul 23, 2025 Accepting new patients
Integrated Behavioral Health, Inc. Clinical CurrentSince Jan 1, 2025 Accepting new patients
Russellville Hospital Inc CurrentSince Jul 23, 2025 Accepting new patients

Locations

350 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627

600 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

25850 Main St
Ardmore, TN 38449
Phone (931) 427-4050

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, 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": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1306657184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588643",
            "telephone_number": "256-975-4291",
            "fax_number": "256-325-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585919",
            "telephone_number": "256-701-5651",
            "fax_number": "256-429-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LESLIE",
        "middle_name": "ALISHA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "6099C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.