Individual provider Active NPI

Leslie M. Kahn, LCSW, PIP

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1669780037
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1652C, PIP Issued in AL
Practice address
2018 Brookwood Medical Ctr Dr
Suite 310
Birmingham, AL 35209-6898
Phone
(205) 329-7815
Fax
(205) 329-7816
NPI assigned
Sep 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 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 1652C, PIP AL Primary

Addresses

Primary practice location

2018 Brookwood Medical Ctr Dr
Suite 310
Birmingham, AL 35209-6898

Mailing address

PO Box 43933
Birmingham, AL 35243-0933
Phone (205) 821-9758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20101202000427 AL Practitioner - Clinical Social Worker 3971799933 Practice locations: Birmingham, AL; Vestavia, AL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Washington University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2018 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6898
Phone (205) 868-2025

4260 Cahaba Heights CT
Vestavia, AL 35243-5711
Phone (205) 329-7815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1652C, PIPALMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1669780037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43933",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352430933",
            "telephone_number": "205-821-9758",
            "fax_number": "205-876-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE 310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096898",
            "telephone_number": "205-329-7815",
            "fax_number": "205-329-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "LESLIE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW, PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1652C, PIP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.