Individual provider Active NPI

Katherine J Lebeda, LCSW

  • Clinical Social Worker
  • Leesburg, VA
National Provider Identifier
1699062901
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004032 Issued in VA
Practice address
1 E Market St
Suite 201
Leesburg, VA 20176-3014
Phone
(703) 585-4107
Fax
(703) 737-3922
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 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 0904004032 VA Primary

Addresses

Primary practice location

1 E Market St
Suite 201
Leesburg, VA 20176-3014

Mailing address

18354 Fairway Oaks SQ
Leesburg, VA 20176-8460
Phone (703) 585-4107

Other identifiers 1

IdentifierTypeStateIssuer
010215226MedicaidVA

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hoffmann and Lebeda Child and Family Services PLLC PastSince Jun 20, 2011 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1699062901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18354 FAIRWAY OAKS SQ",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768460",
            "telephone_number": "703-585-4107",
            "fax_number": "703-737-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E MARKET ST",
            "address_2": "SUITE 201",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763014",
            "telephone_number": "703-585-4107",
            "fax_number": "703-737-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBEDA",
        "first_name": "KATHERINE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010215226",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.