Active NPI
Leigh Regine Westergren, LCSW
- Clinical Social Worker
- Buford, GA
National Provider Identifier
1386156263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW007494
- Practice address
- 114 E Main St # A1B-20
Buford, GA 30518 - Phone
- (219) 898-9103
- NPI assigned
- Oct 31, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34008607A | IN | |
| Clinical Social Worker | 1041C0700X | CSW007494 | GA | Primary |
Addresses
Primary practice location
114 E Main St # A1B-20
Buford, GA 30518
Mailing address
114 E Main St # A1B-20
Buford, GA 30518
Phone (219) 898-9103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
115 E Main St
Suite A1B 20
Buford, GA 30518-5727
Phone (219) 898-9103
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Leigh Regine LLC | Clinical | Current | Accepting new patients |
| Porter-Starke Services Inc. | Current | Accepting new patients | |
| Porter-Starke Services Inc. | Current | Accepting new patients |
Locations
115 E Main St
Ste A1B
Buford, GA 30518
Phone (470) 594-2570
115 E Main St
Ste A1B20
Buford, GA 30518
Phone (219) 898-9103
601 Wall St
Valparaiso, IN 46383
Phone (219) 806-3011
Interoperability endpoints
- leighwestergren@tdh.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Clinical Social Worker
- Buford, GA
- NPI 1669017075
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Valparaiso, IN
- NPI 1689627598
-
- Federally Qualified Health Center (FQHC)
- Valparaiso, IN
- NPI 1659196236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1386156263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 E MAIN ST # A1B-20",
"city": "BUFORD",
"state": "GA",
"postal_code": "30518",
"telephone_number": "219-898-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E MAIN ST # A1B-20",
"city": "BUFORD",
"state": "GA",
"postal_code": "30518",
"telephone_number": "219-898-9103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTERGREN",
"first_name": "LEIGH",
"middle_name": "REGINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-31",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34008607A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW007494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.