Individual provider Active NPI

Leslie Rhea Keene, L.C S. W.

  • Clinical Social Worker
  • Show Low, AZ
National Provider Identifier
1366463416
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16435 Issued in AZ
Practice address
501 S Clark Rd Ste 8
Show Low, AZ 85901-5621
Phone
(928) 486-5472
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 991682 CO
Clinical Social Worker 1041C0700X 008175 IA
Clinical Social Worker 1041C0700X 16435 AZ Primary

Addresses

Primary practice location

501 S Clark Rd Ste 8
Show Low, AZ 85901-5621

Mailing address

PO Box 125
Springerville, AZ 85938-0125
Phone (928) 486-5472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170113000135 AZ Practitioner - Clinical Social Worker 6305995994 Practice locations: Show Low, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

501 S Clark Rd
Suite 8
Show Low, AZ 85901-5621
Phone (928) 486-5472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
991682COMDSocial Worker
16435AZMDClinical Social Worker
008175IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Life Connect LLC Clinical CurrentSince Jan 8, 2023 Accepting new patients
Nurse in the House, Inc. Past Accepting new patients

Locations

501 S Clark Rd
Ste 8
Show Low, AZ 85901
Phone (928) 486-5472

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1366463416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "SPRINGERVILLE",
            "state": "AZ",
            "postal_code": "859380125",
            "telephone_number": "928-486-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S CLARK RD STE 8",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015621",
            "telephone_number": "928-486-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "LESLIE",
        "middle_name": "RHEA",
        "name_prefix": "Ms.",
        "credential": "L.C S. W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "991682",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "008175",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "16435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

Verify at the official NPI Registry.