Ethan Lechner, LCSWA, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P012231 Issued in NC

Practice address

Holistic Commons
123 S. Walnut Circle
Greensboro, NC 27409

Phone

(919) 428-4842

NPI assigned

Aug 20, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1609423136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LANTERN WAY",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102470",
            "telephone_number": "919-428-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOLISTIC COMMONS",
            "address_2": "123 S. WALNUT CIRCLE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27409",
            "telephone_number": "919-428-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECHNER",
        "first_name": "ETHAN",
        "name_prefix": "Dr.",
        "credential": "LCSWA, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmund Joseph Lebauer, M.D.
• Eugene Shaner Lebauer, M.D.
• Samuel Morgenstern Lebauer, M.D.
• Katie Leblanc, SLP
• Alexandra J Lebron
• Priscilla Lecompte, LCMHCA
• Pablo Andres Ledesma Paredes, MD
• Aalyiah Lee
• Amy Denise Lee, NBCHWC
• Anita McKay Lee

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.