Mitchell A Leppicello, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9763 Issued in MN

Practice address

700 Commerce Dr
Suite 295
Woodbury, MN 55125-9232

Phone

(651) 408-5132

Fax

(651) 735-7844

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Leppicello and Associates, LLC

  dba East Metro Family Counseling, LLC

  • Clinical Social Worker
  • Woodbury, MN
  • NPI 1962797688
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1437234994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13393 26TH ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821513",
            "telephone_number": "651-408-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COMMERCE DR",
            "address_2": "SUITE 295",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259232",
            "telephone_number": "651-408-5132",
            "fax_number": "651-735-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPPICELLO",
        "first_name": "MITCHELL",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "9763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437234993",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Girum L Lemma, MD
• Joanna Lenik-Oliva, MD
• Ashley Lentz, OTR/L
• Brooke M Leone, PT
• Leppicello and Associates, LLC (East Metro Family Counseling, LLC)
• Koob Phong Lesang, LMFT
• Steven Lesk, MD
• Carrie Leske, PHARM.D
• Vince M Letourneau, MT
• Misrak Letta

• Clinical Social Worker in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.