Individual provider Active NPI

Leah Shanteau, LISWS, LCSW

  • Clinical Social Worker
  • Satellite Beach, FL
National Provider Identifier
1346770393
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22182 Issued in FL
Practice address
546 Coconut St
Satellite Beach, FL 32937-3204
Phone
(513) 298-9155
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2102888 OH
Clinical Social Worker 1041C0700X SW22182 FL Primary

Addresses

Primary practice location

546 Coconut St
Satellite Beach, FL 32937-3204

Mailing address

546 Coconut St
Satellite Beach, FL 32937-3204
Phone (513) 298-9155

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240925003063 FL Practitioner - Clinical Social Worker 5496296873 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2102888OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Troupe Health Medical Group, PA CurrentSince Jul 6, 2024 Accepting new patients

Locations

3918 S Kings Ave
Brandon, FL 33511
Phone (813) 661-1535

3702 W Spruce St
Tampa, FL 33607
Phone (800) 303-4214

85 5th Ave
Fl 8
New York, NY 10003
Phone (212) 993-7809

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1346770393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 COCONUT ST",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373204",
            "telephone_number": "513-298-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 COCONUT ST",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373204",
            "telephone_number": "513-298-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANTEAU",
        "first_name": "LEAH",
        "credential": "LISWS, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102888",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Satellite Beach, FL

Sources for this page

Verify at the official NPI Registry.