Organization Active NPI

Leesa L. Sitter BCSW, Acsw Inc.

  • Clinical Social Worker
  • Shreveport, LA
National Provider Identifier
1366777526
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2279 Issued in LA
Legal business name
LEESA L. SITTER BCSW, ACSW INC.
Practice address
820 Jordan St
Suite 220
Shreveport, LA 71101-4519
Phone
(318) 226-8753
Fax
(318) 226-8754
NPI assigned
Oct 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Leesa L. Sitter, LCSWNPI 1407953912
Title
LCSW, Owner
Phone
(318) 226-8753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2279 LA Primary

Addresses

Primary practice location

820 Jordan St
Suite 220
Shreveport, LA 71101-4519

Mailing address

820 Jordan St
Suite 220
Shreveport, LA 71101-4519
Phone (318) 226-8753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100903000915 LA Part B Supplier - Clinic/Group Practice 7315061850 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Locations

820 Jordan St
Ste 220
Shreveport, LA 71101
Phone (318) 226-8753

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1366777526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST",
            "address_2": "SUITE 220",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014519",
            "telephone_number": "318-226-8753",
            "fax_number": "318-226-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST",
            "address_2": "SUITE 220",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014519",
            "telephone_number": "318-226-8753",
            "fax_number": "318-226-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESA L. SITTER BCSW, ACSW INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "SITTER",
        "authorized_official_first_name": "LEESA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "LCSW, OWNER",
        "authorized_official_telephone_number": "318-226-8753",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.