Individual provider Active NPI

Stephanie Leach, LSW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1326624768
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.2004969 Issued in OH
Practice address
985 Bethel Rd Ste a
Columbus, OH 43214-1990
Phone
(614) 596-3889
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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 S.2004969 OH Primary

Addresses

Primary practice location

985 Bethel Rd Ste a
Columbus, OH 43214-1990

Mailing address

5671 Preston Woods Rd
Columbus, OH 43235-4020
Phone (614) 563-8551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221128000367 OH Practitioner - Clinical Social Worker 9931577814 Practice locations: Columbus, OH
I20231227001937 OH Practitioner - Clinical Social Worker 9931577814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

985 Bethel Rd
Suite B
Columbus, OH 43214-1990
Phone (614) 596-3889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.2004969OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Leach, LLC CurrentSince Nov 3, 2023 Accepting new patients

Locations

985 Bethel Rd
Ste B
Columbus, OH 43214
Phone (407) 815-5547

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1326624768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5671 PRESTON WOODS RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354020",
            "telephone_number": "614-563-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 BETHEL RD STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141990",
            "telephone_number": "614-596-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "STEPHANIE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2004969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.