Organization Active NPI

Laura J. Leblanc, LLC

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1386182830
Registry record updated Feb 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8521-123 Issued in WI
Legal business name
LAURA J. LEBLANC, LLC
Practice address
727 Clark CT
Madison, WI 53715-1421
Phone
(773) 844-8389
Fax
(773) 681-7488
NPI assigned
Feb 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2017

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

Authorized official

Name
Laura LeblancNPI 1427105352
Title
LCSW
Phone
(773) 844-8389

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 8521-123 WI Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 149010106 IL

Addresses

Primary practice location

727 Clark CT
Madison, WI 53715-1421

Mailing address

727 Clark CT
Madison, WI 53715-1421
Phone (773) 844-8389

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170302001239 IL Part B Supplier - Clinic/Group Practice 4981988508 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

5100 N Ravenswood Ave
Ste 216
Chicago, IL 60640
Phone (773) 844-8389

301 S Bedford St
Ste 217
Madison, WI 53703
Phone (773) 844-8389

411 W Main St
Ste 205
Madison, WI 53703
Phone (773) 844-8389

Practitioners & affiliated clinicians

Practitioners 1

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": "1486252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486252800000",
    "number": "1386182830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 CLARK CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151421",
            "telephone_number": "773-844-8389",
            "fax_number": "773-681-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 CLARK CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151421",
            "telephone_number": "773-844-8389",
            "fax_number": "773-681-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA J. LEBLANC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-05",
        "last_updated": "2017-02-05",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "773-844-8389"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8521-123",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010106",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2017; 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.