Individual provider Active NPI

Leilah R Madorsky, LCSW

  • Clinical Social Worker
  • Newport Beach, CA
National Provider Identifier
1598911489
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW66438 Issued in CA
Practice address
1001 Dove St # 791-7138
Newport Beach, CA 92660-2838
Phone
(949) 791-7138
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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 LCSW66438 CA Primary

Addresses

Primary practice location

1001 Dove St # 791-7138
Newport Beach, CA 92660-2838

Mailing address

180 Newport Center Dr Ste 158
Newport Beach, CA 92660-0934
Phone (949) 719-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180810002533 CA Practitioner - Clinical Social Worker 2860688017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
74.57 of 100Reported as group
Quality
77.27
Promoting interoperability
99
Improvement activities
40
Cost
38.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW66438CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Beach Surgical and Medical Group Inc CurrentSince Aug 1, 2018 Accepting new patients

Locations

180 Newport Center Dr
Ste 158
Newport Beach, CA 92660
Phone (949) 209-1622

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1598911489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NEWPORT CENTER DR STE 158",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600934",
            "telephone_number": "949-719-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 DOVE ST # 791-7138",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602838",
            "telephone_number": "949-791-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADORSKY",
        "first_name": "LEILAH",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW66438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.