Individual provider Active NPI

Leslie Leet, LCSW

  • Clinical Social Worker
  • Star, ID
National Provider Identifier
1699021246
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-34286 Issued in ID
Practice address
246 N Main St
Star, ID 83669
Phone
(208) 283-7181
NPI assigned
Aug 1, 2012
Last updated
Jul 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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 LCSW-34286 ID Primary

Addresses

Primary practice location

246 N Main St
Star, ID 83669

Mailing address

1 Kalisa Way Ste 101
Paramus, NJ 07652-3508
Phone (888) 948-6789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20160420000094 ID Practitioner - Clinical Social Worker 0143528497 Reassigns benefits to 1 organization
Practice locations: Nampa, ID; Meridian, ID; Boise, ID; Caldwell, ID

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8211 W Ustick Rd
Boise, ID 83704-5756
Phone (888) 948-6789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-34286IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leslie Leet LLC Clinical CurrentSince Jan 1, 2019 Accepting new patients

Locations

4860 Robb St
Ste 201
Wheat Ridge, CO 80033
Phone 3032787418 ext. 102

320 N Collins Rd
Boise, ID 83702
Phone (208) 334-5000

502 N Kimball Pl
Boise, ID 83704
Phone (208) 377-1900

8211 W Ustick Rd
Boise, ID 83704
Phone (208) 375-3700

2814 S Indiana Ave
Caldwell, ID 83605
Phone (208) 454-0380

77 N Fisher Park Way
Eagle, ID 83616
Phone (208) 297-3039

714 N Butte Ave
Emmett, ID 83617
Phone (208) 365-4425

1351 W Pine Ave
Meridian, ID 83642
Phone (208) 467-7298

1695 S Locust Grove Rd
Meridian, ID 83642
Phone (208) 888-0090

2105 12th Ave Rd
Nampa, ID 83686
Phone (208) 467-5121

46 N Midland Blvd
Nampa, ID 83651
Phone (208) 446-7803

1204 Shriver Rd
Orofino, ID 83544
Phone (208) 476-4568

1019 3rd Ave S
Payette, ID 83661
Phone (208) 642-3396

1 Kalisa Way
Ste 101
Paramus, NJ 07652

Organizations & group practices 1

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": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1699021246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KALISA WAY STE 101",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523508",
            "telephone_number": "888-948-6789",
            "fax_number": "877-345-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 N MAIN ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "83669",
            "telephone_number": "208-283-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEET",
        "first_name": "LESLIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-34286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Star, ID

Sources for this page

Verify at the official NPI Registry.