Individual provider Active NPI

Lesley Robin Puett, LISW-S

  • Clinical Social Worker
  • London, OH
National Provider Identifier
1407289333
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0900195-SUPV Issued in OH
Practice address
1375 US Highway 42 SE Ste C
London, OH 43140-9548
Phone
(740) 845-8652
Fax
(614) 503-0899
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0900195-SUPV OH Primary

Addresses

Primary practice location

1375 US Highway 42 SE Ste C
London, OH 43140-9548

Mailing address

1375 US Highway 42 SE Ste C
London, OH 43140-9548
Phone (740) 845-8652

Other practice location 1

5548 Hilliard Rome Office Park
Hilliard, OH 43026-7286
Phone (740) 845-8652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140509000829 OH Practitioner - Clinical Social Worker 0042443400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Indiana University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling and Neurotherapy Associates LLCGroup PAC ID 8022393495, 2 clinicians

Practice addresses (Care Compare)

1375 US Hwy 42 SE
Suite C
London, OH 43140-9548
Phone (740) 845-8652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0900195-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Neurotherapy Associates LLC Current Accepting new patients
Counseling and Neurotherapy Associates LLC Mental Health CurrentSince Apr 30, 2025 Accepting new patients

Locations

5548 Hilliard Rome Office Park
Hilliard, OH 43026
Phone (614) 879-8067

1375 US Highway 42 SE
Ste C
London, OH 43140
Phone (614) 879-8067

Organizations & group practices 3

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": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1407289333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 US HIGHWAY 42 SE STE C",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409548",
            "telephone_number": "740-845-8652",
            "fax_number": "614-503-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 US HIGHWAY 42 SE STE C",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409548",
            "telephone_number": "740-845-8652",
            "fax_number": "614-503-0899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5548 Hilliard Rome Office Park",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430267286",
            "country_code": "US",
            "telephone_number": "740-845-8652",
            "fax_number": "614-503-0899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUETT",
        "first_name": "LESLEY",
        "middle_name": "ROBIN",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0900195-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, OH

Sources for this page

Verify at the official NPI Registry.