Individual provider Active NPI

Alicia Katherine Leslie, LCSW

  • Clinical Social Worker
  • Brookfield, WI
National Provider Identifier
1437387958
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7999-123 Issued in WI
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150812008190 WI Practitioner - Clinical Social Worker 3375858863 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7999-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc CurrentSince Jun 13, 2025 Accepting new patients
Fort Healthcare Inc CurrentSince Mar 10, 2020 Accepting new patients
Fort Healthcare Inc Clinical CurrentSince Mar 10, 2020 Accepting new patients
Washington County Wisconsin CurrentSince Jun 26, 2015 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.