Active NPI
Katherine E Leslie, LCSW
- Clinical Social Worker
- Boulder, CO
National Provider Identifier
1326310145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09924228
- Practice address
- 4430 Arapahoe Ave Ste 215
Boulder, CO 80303-1100 - Phone
- (919) 960-1623
- NPI assigned
- Feb 9, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C007621 | NC | |
| Clinical Social Worker | 1041C0700X | CSW.09924228 | CO | Primary |
Addresses
Primary practice location
4430 Arapahoe Ave Ste 215
Boulder, CO 80303-1100
Mailing address
2346 Broadway St
Boulder, CO 80304-4107
Phone (919) 960-1623
Other practice location 1
2346 Broadway St
Boulder, CO 80304-4107
Phone (919) 960-1623
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09924228 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katherine Elizabeth Leslie Psychotherapist | Clinical | Past | 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.
-
- Clinical Social Worker
- Boulder, CO
- NPI 1679082630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1326310145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2346 BROADWAY ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803044107",
"telephone_number": "919-960-1623",
"fax_number": "720-598-9383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4430 ARAPAHOE AVE STE 215",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031100",
"telephone_number": "919-960-1623"
}
],
"practiceLocations": [
{
"address_1": "2346 Broadway St",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803044107",
"country_code": "US",
"telephone_number": "919-960-1623",
"fax_number": "720-598-9383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESLIE",
"first_name": "KATHERINE",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C007621",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09924228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.