Individual provider Active NPI

Leslie Hannah Brody, LISW-S, LICDC

  • Clinical Social Worker
  • Middletown, OH
National Provider Identifier
1700070844
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0009280 Issued in OH
Practice address
4464 S Dixie Hwy
Middletown, OH 45005-5464
Phone
(513) 649-8008
Fax
(513) 649-8004
NPI assigned
Aug 31, 2007
Last updated
Feb 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I 0009280 OH
Professional Counselor 101YP2500X I 0009280 OH
Clinical Social Worker 1041C0700X I-0009280 OH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.011170 OH

Addresses

Primary practice location

4464 S Dixie Hwy
Middletown, OH 45005-5464

Mailing address

4464 S Dixie Hwy
Middletown, OH 45005-5464
Phone (513) 649-8008

Other identifiers 4

IdentifierTypeStateIssuer
01-0693OtherOHCARF CERTIFICATION
H291160OtherOHMEDICARE INDIVIDUAL PTAN
0074946OtherOHMEDICAID LEGACY NUMBER MENTAL HEALTH
0074861OtherOHMEDICAID LEGACY NUMBER CHEMICAL DEPENDENCY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20071008000588 OH Practitioner - Clinical Social Worker 4587759394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians
Jewish Family Service of the Cincinnati AreaGroup PAC ID 5193764686, 5 clinicians

Practice addresses (Care Compare)

26250 Euclid Ave
Ofc 910
Cleveland, OH 44132-3305
Phone (240) 201-3386

9395 Kenwood Rd
Suite 100
Blue Ash, OH 45242-6819
Phone (513) 469-1188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.011170OHMDAddiction (Substance Use Disorder) Counselor
I 0009280OHMDMental Health Counselor
I-0009280OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of the Cincinnati Area CurrentSince Mar 1, 2020 Accepting new patients
Jewish Family Service of the Cincinnati Area Clinical CurrentSince Mar 31, 2024 Accepting new patients
Sailor Health Medical PA Mental Health CurrentSince Jan 26, 2026 Accepting new patients
Access Counseling Services, LLC Addiction (Substance Use Disorder) Past Accepting new patients

Locations

201 S Biscayne Blvd
Miami, FL 33131
Phone (833) 378-2552

9395 Kenwood Rd
Ste 100
Blue Ash, OH 45242
Phone (513) 469-1188

8487 Ridge Rd
Cincinnati, OH 45236
Phone (513) 469-1188

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": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1700070844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4464 S DIXIE HWY",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055464",
            "telephone_number": "513-649-8008",
            "fax_number": "513-649-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4464 S DIXIE HWY",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055464",
            "telephone_number": "513-649-8008",
            "fax_number": "513-649-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODY",
        "first_name": "LESLIE",
        "middle_name": "HANNAH",
        "name_prefix": "Ms.",
        "credential": "LISW-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I 0009280",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "I 0009280",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0009280",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.011170",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARF CERTIFICATION",
            "identifier": "01-0693",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "H291160",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LEGACY NUMBER MENTAL HEALTH",
            "identifier": "0074946",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LEGACY NUMBER CHEMICAL DEPENDENCY",
            "identifier": "0074861",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.