Individual provider Active NPI

Leslie D Rocha-Dunn

  • Clinical Social Worker
  • Oak Harbor, WA
National Provider Identifier
1417615014
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61623043 Issued in WA
Practice address
830 SE Ireland St
Oak Harbor, WA 98277-5502
Phone
(360) 679-7676
Fax
(360) 682-5947
NPI assigned
Dec 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW61623043 WA Primary
Counselor 101Y00000X SC61276498 WA

Addresses

Primary practice location

830 SE Ireland St
Oak Harbor, WA 98277-5502

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Other practice location 1

2203 Old Highway 99 S Rd
Mount Vernon, WA 98273-9009
Phone (360) 542-8810

Other names 1

  • Leslie D Rocha-Roman Former name

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
SC61276498WAMDCounselor
LW61623043WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Counselor CurrentSince Feb 9, 2025 Accepting new patients
Sea-Mar Community Health Center PastSince Dec 1, 2021 Accepting new patients

Locations

2203 Old Highway 99 S Rd
Mount Vernon, WA 98273
Phone (360) 542-8810

Organizations & group practices 2

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": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1417615014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SE IRELAND ST",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775502",
            "telephone_number": "360-679-7676",
            "fax_number": "360-682-5947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2203 Old Highway 99 S Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982739009",
            "country_code": "US",
            "telephone_number": "360-542-8810",
            "fax_number": "360-542-8811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCHA-DUNN",
        "first_name": "LESLIE",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61623043",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "SC61276498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "ROCHA-ROMAN",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.