Individual provider Active NPI

Leiann Hawley, LCSW

  • Clinical Social Worker
  • Sierra Vista, AZ
National Provider Identifier
1356365092
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-12949 Issued in AZ
Practice address
2913 Oak Hill St
Sierra Vista, AZ 85650-5120
Phone
(520) 220-9110
Fax
(520) 378-0999
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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 6801085606 MI
Clinical Social Worker 1041C0700X LCSW-12949 AZ Primary

Addresses

Primary practice location

2913 Oak Hill St
Sierra Vista, AZ 85650-5120

Mailing address

2913 Oak Hill St
Sierra Vista, AZ 85650-5120
Phone (517) 914-2608

Other identifiers 1

IdentifierTypeStateIssuer
557462OtherAZAHCCCS

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

LicenseStateTypeSpecialty
LCSW-12949AZMDClinical Social Worker
6801085606MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Behavioral Health, LLC Past Accepting new patients
Catholic Charities of Jackson, Lenawee and Hillsdale Counties PastSince Jul 10, 2018 Accepting new patients

Organizations & group practices 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1356365092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 OAK HILL ST",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856505120",
            "telephone_number": "517-914-2608",
            "fax_number": "520-378-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 OAK HILL ST",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856505120",
            "telephone_number": "520-220-9110",
            "fax_number": "520-378-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "LEIANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085606",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-12949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "557462",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.