Active NPI
Lea Anne Einterz, MSW, LSW
- Social Worker
- South Bend, IN
National Provider Identifier
1649946005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33009186A
- Practice address
- 402 W Washington St
South Bend, IN 46601-1526 - Phone
- (574) 302-2461
- NPI assigned
- Aug 17, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 33009186A | IN | Primary |
Addresses
Primary practice location
402 W Washington St
South Bend, IN 46601-1526
Mailing address
307 Lamonte Ter
South Bend, IN 46616-1357
Phone (574) 302-2461
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33009186A | IN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1649946005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 LAMONTE TER",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466161357",
"telephone_number": "574-302-2461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 W WASHINGTON ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011526",
"telephone_number": "574-302-2461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EINTERZ",
"first_name": "LEA",
"middle_name": "ANNE",
"credential": "MSW, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-17",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33009186A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.