Active NPI
Tanya Leskey, MSW LICSW
- Clinical Social Worker
- Baxter, MN
National Provider Identifier
1437593860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16358
- Practice address
- 7115 Forthun Rd Ste 105
Baxter, MN 56425-8598 - Phone
- (218) 454-0090
- NPI assigned
- Apr 29, 2013
- Last updated
- Apr 29, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16358 | MN | Primary |
Addresses
Primary practice location
7115 Forthun Rd Ste 105
Baxter, MN 56425-8598
Mailing address
19179 Grave Lake Rd
Brainerd, MN 56401-4736
Phone (507) 381-6542
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16358 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1437593860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19179 GRAVE LAKE RD",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564014736",
"telephone_number": "507-381-6542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7115 FORTHUN RD STE 105",
"city": "BAXTER",
"state": "MN",
"postal_code": "564258598",
"telephone_number": "218-454-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESKEY",
"first_name": "TANYA",
"credential": "MSW LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-29",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "16358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baxter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.