Individual provider Active NPI

Shelie D Leighter, MA, LISW

  • Clinical Social Worker
  • Council Bluffs, IA
National Provider Identifier
1649322488
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06799 Issued in IA
Practice address
427 E Kanesville Blvd Ste 102
Council Bluffs, IA 51503-4403
Phone
(712) 310-1583
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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 06799 IA Primary

Addresses

Primary practice location

427 E Kanesville Blvd Ste 102
Council Bluffs, IA 51503-4403

Mailing address

427 E Kanesville Blvd Ste 102
Council Bluffs, IA 51503-4403
Phone (712) 310-1583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20090716000036 IA Practitioner - Clinical Social Worker 0547312944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Healing and Hope, LLCGroup PAC ID 6800912031, 4 clinicians

Practice addresses (Care Compare)

427 E Kanesville Blvd
Suite 210
Council Bluffs, IA 51503-4403
Phone 7122569660104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
06799IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Therapy Group, LLC PastSince Jun 5, 2006 Accepting new patients

Organizations & group practices 2

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1649322488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 E KANESVILLE BLVD STE 102",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034403",
            "telephone_number": "712-310-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E KANESVILLE BLVD STE 102",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034403",
            "telephone_number": "712-310-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGHTER",
        "first_name": "SHELIE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MA, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.