Active NPI
Leesa Ann Evans, LSW
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1316712276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S002000010
- Practice address
- 1855 E Dublin Granville Rd
Columbus, OH 43229-3516 - Phone
- (614) 261-3196
- NPI assigned
- Nov 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S002000010 | OH | Primary |
Addresses
Primary practice location
1855 E Dublin Granville Rd
Columbus, OH 43229-3516
Mailing address
6262 Shawnee St
Grove City, OH 43123-9079
Phone (614) 581-1281
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S002000010 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1316712276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6262 SHAWNEE ST",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431239079",
"telephone_number": "614-581-1281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 E DUBLIN GRANVILLE RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432293516",
"telephone_number": "614-261-3196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "LEESA",
"middle_name": "ANN",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-21",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S002000010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.