Active NPI
Leslie K. Roberts, MSW
- Clinical Social Worker
- Decatur, IL
National Provider Identifier
1497267215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 150001221
- Practice address
- 2300 N. Edward Street
Ciha
Decatur, IL 62526 - Phone
- (217) 876-6438
- Fax
- (217) 876-6485
- NPI assigned
- Nov 2, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 150001221 | IL | Primary |
Addresses
Primary practice location
2300 N. Edward Street
Ciha
Decatur, IL 62526
Mailing address
2300 N. Edward Street
Ciha
Decatur, IL 62526
Phone (217) 876-6438
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509580800000",
"number": "1497267215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 N. EDWARD STREET",
"address_2": "CIHA",
"city": "DECATUR",
"state": "IL",
"postal_code": "62526",
"telephone_number": "217-876-6438",
"fax_number": "217-876-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 N. EDWARD STREET",
"address_2": "CIHA",
"city": "DECATUR",
"state": "IL",
"postal_code": "62526",
"telephone_number": "217-876-6438",
"fax_number": "217-876-6485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "LESLIE",
"middle_name": "K.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-02",
"last_updated": "2017-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "150001221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.