Active NPI
M Leslie Blount, L.C.S.W.
- Social Worker
- Tampa, FL
National Provider Identifier
1326115015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW 4044
- Practice address
- 14505 Bruce B Downs Blvd
Tampa, FL 33613-2789 - Phone
- (813) 416-1454
- Fax
- (813) 978-9744
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW 4044 | FL | Primary |
Addresses
Primary practice location
14505 Bruce B Downs Blvd
Tampa, FL 33613-2789
Mailing address
7209 Hammet Rd
Tampa, FL 33647-1206
Phone (813) 980-3488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081222000288 | FL | Practitioner - Clinical Social Worker | 9830251172 | Practice locations: Tampa, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14505 Bruce B Downs Blvd
Tampa, FL 33613-2789
Phone (813) 416-1454
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 4044 | FL | MD | Social Worker |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1326115015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7209 HAMMET RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336471206",
"telephone_number": "813-980-3488",
"fax_number": "813-980-3647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14505 BRUCE B DOWNS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336132789",
"telephone_number": "813-416-1454",
"fax_number": "813-978-9744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOUNT",
"first_name": "M",
"middle_name": "LESLIE",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "SW 4044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.