Individual provider Active NPI

Jennifer Leib, LCSW-C, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1487019527
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50078171 Issued in DC
Practice address
1630 Connecticut Ave NW
Suite 400
Washington, DC 20009-1053
Phone
(301) 802-1210
NPI assigned
Dec 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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 13034 MD
Clinical Social Worker 1041C0700X LC50078171 DC Primary

Addresses

Primary practice location

1630 Connecticut Ave NW
Suite 400
Washington, DC 20009-1053

Mailing address

8602 Bradford Rd
Silver Spring, MD 20901-4314
Phone (301) 802-1210

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC50078171DCMDClinical Social Worker
13034MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1487019527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8602 BRADFORD RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014314",
            "telephone_number": "301-802-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 CONNECTICUT AVE NW",
            "address_2": "SUITE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200091053",
            "telephone_number": "301-802-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIB",
        "first_name": "JENNIFER",
        "credential": "LCSW-C, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13034",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.