Individual provider Active NPI

Jodee Burkinshaw Liebman, MSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1417293242
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010596 Issued in NC
Practice address
959 Merrimon Ave Ste 202
Asheville, NC 28804-2353
Phone
(828) 544-0438
NPI assigned
Dec 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X C010596 NC Primary

Addresses

Primary practice location

959 Merrimon Ave Ste 202
Asheville, NC 28804-2353

Mailing address

105 Pink Fox Cove Rd
Weaverville, NC 28787-8814
Phone (828) 544-0438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190910000890 NC Practitioner - Clinical Social Worker 4587906235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Liebman Psychotherapy, PCGroup PAC ID 9739418278, 2 clinicians

Practice addresses (Care Compare)

105 Pink Fox Cove Rd
Weaverville, NC 28787-8814
Phone (828) 544-0438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Liebman Psychotherapy, PC Clinical CurrentSince Jun 3, 2019 Accepting new patients

Locations

959 Merrimon Ave
Ste 202
Asheville, NC 28804
Phone (828) 225-6552

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1417293242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PINK FOX COVE RD",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287878814",
            "telephone_number": "828-544-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 MERRIMON AVE STE 202",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288042353",
            "telephone_number": "828-544-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBMAN",
        "first_name": "JODEE",
        "middle_name": "BURKINSHAW",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.