Individual provider Active NPI

Leslie Lynn Bennett, LCSW

  • Clinical Social Worker
  • San Angelo, TX
National Provider Identifier
1659558880
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67293 Issued in TX
Practice address
3371 Knickerbocker Rd # 203
San Angelo, TX 76904-6814
Phone
(956) 238-0908
NPI assigned
Jan 30, 2008
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X 67293 TX Primary

Addresses

Primary practice location

3371 Knickerbocker Rd # 203
San Angelo, TX 76904-6814

Mailing address

3371 Knickerbocker Rd # 203
San Angelo, TX 76904-6814
Phone (956) 238-0908

Other identifiers 3

IdentifierTypeStateIssuer
832244OtherTXMEDICARE
005282OtherTXBCBS
395401902MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080527000078 TX Practitioner - Clinical Social Worker 0547339954 Practice locations: San Angelo, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

San Angelo, TX 76904
Phone (325) 221-4079

2002 Colorado Ave
San Angelo, TX 76901-3906

3371 Knickerbocker Rd
Suite 203
San Angelo, TX 76904-6814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
574AKMDProfessional Counselor
67293TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Atlas Counseling & Trauma Services, PLLC CurrentSince Oct 6, 2024 Accepting new patients
LLB and Associates PLLC Clinical CurrentSince Sep 13, 2020 Accepting new patients
Frontera Healthcare Network Past Accepting new patients

Locations

2002 Colorado Ave
San Angelo, TX 76901
Phone (325) 223-2825

3371 Knickerbocker Rd
#203
San Angelo, TX 76904
Phone (956) 238-0908

1402 S International Blvd
#64
Weslaco, TX 78596

Interoperability endpoints

  • Direct secure messaging: lesliebennett@tdh.allscriptsdirect.net

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1659558880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3371 KNICKERBOCKER RD # 203",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046814",
            "telephone_number": "956-238-0908",
            "fax_number": "325-227-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3371 KNICKERBOCKER RD # 203",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046814",
            "telephone_number": "956-238-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LESLIE",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "832244",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "005282",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395401902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.