Susan K. Leeds, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004237 Issued in WA

Legal business name

SUSAN K. LEEDS, LLC

Practice address

1300 114TH Ave SE Ste 102
Bellevue, WA 98004-6928

Phone

(425) 454-2835

Fax

(425) 454-2315

NPI assigned

Apr 24, 2016

Last updated

Jan 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Susan K Leeds, MSWNPI 1659579415

Title

Clinical Social Worker

Phone

(425) 454-2835

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan K Leeds, LLC, MSW

  • Clinical Social Worker
  • Bellevue, WA
  • NPI 1659579415
  Authorized official Same address or phone

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

{
    "created_epoch": "1461456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483747200000",
    "number": "1487009726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 114TH AVE SE STE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046928",
            "telephone_number": "425-454-2835",
            "fax_number": "425-454-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 114TH AVE SE STE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046928",
            "telephone_number": "425-454-2835",
            "fax_number": "425-454-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN K. LEEDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-24",
        "last_updated": "2017-01-07",
        "status": "A",
        "authorized_official_last_name": "LEEDS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "425-454-2835",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.