Individual provider Active NPI

Leslie Dawn Free, LCSW

  • Clinical Social Worker
  • Saint Charles, MO
National Provider Identifier
1366030777
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2024038496 Issued in MO
Practice address
72 Somerset Hills CT
Saint Charles, MO 63303-7316
Phone
(901) 633-3657
NPI assigned
Jan 2, 2021
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 108725 TX
Clinical Social Worker 1041C0700X 6913 TN
Clinical Social Worker 1041C0700X 2024038496 MO Primary

Addresses

Primary practice location

72 Somerset Hills CT
Saint Charles, MO 63303-7316

Mailing address

72 Somerset Hills CT
Saint Charles, MO 63303-7316
Phone (901) 633-3657

Other practice location 1

6373 N Quail Hollow Rd Ste 101
Memphis, TN 38120-1405
Phone (901) 871-0353

Other names 1

  • Leslie Dawn Lindsey Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2024038496MOMDClinical Social Worker
6913TNMDClinical Social Worker
108725TXMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1366030777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 SOMERSET HILLS CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633037316",
            "telephone_number": "901-633-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 SOMERSET HILLS CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633037316",
            "telephone_number": "901-633-3657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6373 N Quail Hollow Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381201405",
            "country_code": "US",
            "telephone_number": "901-871-0353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREE",
        "first_name": "LESLIE",
        "middle_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-02",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "108725",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6913",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024038496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "LINDSEY",
            "middle_name": "DAWN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.