Active NPI
Leslie Tucker-Guilfoyle, LCSW
- Clinical Social Worker
- Chesterfield, VA
National Provider Identifier
1669030433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904011044
- Practice address
- 6801 Lucy Corr CT
Chesterfield, VA 23832-6657 - Phone
- (804) 768-7318
- Fax
- (804) 717-6659
- NPI assigned
- Jun 5, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0903002435 | VA | |
| Clinical Social Worker | 1041C0700X | 0904011044 | VA | Primary |
Addresses
Primary practice location
6801 Lucy Corr CT
Chesterfield, VA 23832-6657
Mailing address
6801 Lucy Corr CT
Chesterfield, VA 23832-6657
Phone (804) 768-7318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336293000 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191016000888 | VA | Practitioner - Clinical Social Worker | 1557692910 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Chesterfield Virginia
Practice addresses (Care Compare)
6801 Lucy Corr CT
Chesterfield, VA 23832-6657
Phone (804) 748-1227
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0903002435 | VA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Chesterfield Virginia | Current | Accepting new patients | |
| Dreaming Tree Wellness, LLC | Clinical | Current | Accepting new patients |
| County of Chesterfield Virginia | Clinical | Current | Accepting new patients |
| Chesterfield County Mental Health | Past | Accepting new patients | |
| Chesterfield County Mental Health | Past | Accepting new patients |
Locations
6801 Lucy Corr Ct
Chesterfield, VA 23832
Phone (804) 748-1227
Organizations & group practices 5
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.
-
- Geriatric Psychiatry Physician
- Chesterfield, VA
- NPI 1336293000
Clinical, VA
-
- Ambulance
- Chesterfield, VA
- NPI 1174578702
-
- Community/Behavioral Health Agency
- Chesterfield, VA
- NPI 1538605613
-
- Nursing Care Agency
- Chesterfield, VA
- NPI 1609253897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1669030433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 LUCY CORR CT",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238326657",
"telephone_number": "804-768-7318",
"fax_number": "804-717-6659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 LUCY CORR CT",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238326657",
"telephone_number": "804-768-7318",
"fax_number": "804-717-6659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER-GUILFOYLE",
"first_name": "LESLIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0903002435",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904011044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336293000",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.