Active NPI
Alicia Katherine Leslie, LCSW
- Clinical Social Worker
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7999-123
- Practice address
- 16535 W Bluemound Rd Ste 200
Brookfield, WI 53005-5906 - Phone
- (262) 789-1191
- NPI assigned
- Jun 23, 2009
- Last updated
- Dec 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7999-123 | WI | Primary |
| Clinical Social Worker | 1041C0700X | NU |
Addresses
Primary practice location
16535 W Bluemound Rd Ste 200
Brookfield, WI 53005-5906
Mailing address
16535 W Bluemound Rd Ste 200
Brookfield, WI 53005-5906
Other practice location 1
500 McMillen St
Fort Atkinson, WI 53538-1233
Phone (920) 563-9542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7999-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Current | Accepting new patients | |
| Fort Healthcare Inc | Current | Accepting new patients | |
| Fort Healthcare Inc | Clinical | Current | Accepting new patients |
| Washington County Wisconsin | Current | Accepting new patients |
Locations
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
500 McMillen St
Fort Atkinson, WI 53538
Phone (920) 563-5571
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
333 E Washington St
Ste 2100
West Bend, WI 53095
Phone (262) 335-4545
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
Organizations & group practices 4
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.
-
dba LifeStance Health
- Mental Health Counselor
- Brookfield, WI
- NPI 1033127246
-
dba Washington County Human Services Mental Health Center
- Community/Behavioral Health Agency
- West Bend, WI
- NPI 1609801778
-
- Rural Health Clinic/Center
- Fort Atkinson, WI
- NPI 1417450115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1437387958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16535 W BLUEMOUND RD STE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530055906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16535 W BLUEMOUND RD STE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530055906",
"telephone_number": "262-789-1191"
}
],
"practiceLocations": [
{
"address_1": "500 McMillen St",
"address_purpose": "LOCATION",
"city": "Fort Atkinson",
"state": "WI",
"postal_code": "535381233",
"country_code": "US",
"telephone_number": "920-563-9542",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESLIE",
"first_name": "ALICIA",
"middle_name": "KATHERINE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-23",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7999-123",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.