Individual provider Active NPI

Leah Marie Zook, MSW, LICSW

  • Clinical Social Worker
  • Duluth, MN
National Provider Identifier
1477037711
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22634 Issued in MN
Practice address
11 E Superior St Ste 415
Duluth, MN 55802-2007
Phone
(218) 393-5407
Fax
(218) 730-2367
NPI assigned
Sep 22, 2018
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 22634 MN Primary

Addresses

Primary practice location

11 E Superior St Ste 415
Duluth, MN 55802-2007

Mailing address

11 E Superior St Ste 415
Duluth, MN 55802-2007
Phone (218) 393-5407

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181117000385 MN Practitioner - Clinical Social Worker 3375897952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Minnesota Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duluth Counseling CenterGroup PAC ID 9335408483, 6 clinicians
Iron Range Behavioral Services LLCGroup PAC ID 1456756352, 4 clinicians

Practice addresses (Care Compare)

11 E Superior St
Suite 415
Duluth, MN 55802-3008
Phone (218) 393-5407

910 8TH St S
Suite B
Virginia, MN 55792-3236
Phone (218) 748-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duluth Counseling Center CurrentSince Dec 25, 2020 Accepting new patients
Iron Range Behavioral Services, LLC Clinical CurrentSince May 21, 2022 Accepting new patients
Brightwater Health Dba Human Development Center PastSince Dec 1, 2019 Accepting new patients

Locations

11 E Superior St
Ste 415
Duluth, MN 55802
Phone (218) 249-0595

205 W 2nd St
Ste 205
Duluth, MN 55802
Phone (218) 729-2039

910 8th St S
Ste B
Virginia, MN 55792
Phone (218) 748-8500

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/humandevelopmentcenter/r4/

Organizations & group practices 3

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": "1537574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1477037711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E SUPERIOR ST STE 415",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022007",
            "telephone_number": "218-393-5407",
            "fax_number": "218-730-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E SUPERIOR ST STE 415",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022007",
            "telephone_number": "218-393-5407",
            "fax_number": "218-730-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOOK",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-22",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.