Active NPI
Krista L. Leinberger, LLC
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1497366967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- KRISTA L. LEINBERGER, LLC
- Practice address
- 548 Fairview Ave NE Apt 1
Grand Rapids, MI 49503-2581 - Phone
- (616) 710-1379
- NPI assigned
- Aug 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krista Lynn List-Leinberger, LMSW
- Title
- President/Therapist
- Phone
- (616) 710-1379
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
548 Fairview Ave NE Apt 1
Grand Rapids, MI 49503-2581
Mailing address
PO Box 1626
Grand Rapids, MI 49501-1626
Phone (616) 710-1379
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- White Cloud, MI
- NPI 1982034302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597017600000",
"number": "1497366967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1626",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495011626",
"telephone_number": "616-710-1379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548 FAIRVIEW AVE NE APT 1",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032581",
"telephone_number": "616-710-1379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTA L. LEINBERGER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-10",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A",
"authorized_official_last_name": "LIST-LEINBERGER",
"authorized_official_first_name": "KRISTA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT/THERAPIST",
"authorized_official_telephone_number": "616-710-1379",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.