Individual provider Active NPI

Annie Grant Leger, LCSW, LCAS

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1407472582
Registry record updated Dec 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015301 Issued in NC
Practice address
322 Lamar Ave Ste 208
Charlotte, NC 28204-2436
Phone
(336) 944-1450
NPI assigned
Jun 24, 2020
Last updated
Dec 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-26559 NC
Clinical Social Worker 1041C0700X C015301 NC Primary

Addresses

Primary practice location

322 Lamar Ave Ste 208
Charlotte, NC 28204-2436

Mailing address

2537 Cranbrook LN
Charlotte, NC 28207-2001
Phone (336) 944-1450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-26559NCMDAddiction (Substance Use Disorder) Counselor
C015301NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Annie Leger Therapy, PLLC. Addiction (Substance Use Disorder) CurrentSince Dec 17, 2023 Accepting new patients

Locations

322 Lamar Ave
Ste 208
Charlotte, NC 28204
Phone (336) 944-1450

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702684800000",
    "number": "1407472582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 CRANBROOK LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072001",
            "telephone_number": "336-944-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 LAMAR AVE STE 208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042436",
            "telephone_number": "336-944-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGER",
        "first_name": "ANNIE",
        "middle_name": "GRANT",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-26559",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.