Organization Active NPI

Leigh Peregoy, LCSW, Inc

  • Clinical Social Worker
  • Bossier City, LA
National Provider Identifier
1730355587
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4456 Issued in LA
Legal business name
LEIGH PEREGOY, LCSW, INC
Practice address
3018 Old Minden Rd
1117A
Bossier City, LA 71112-2476
Phone
(318) 746-5775
Fax
(318) 703-2854
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Ms. Leigh Perry Peregoy, LCSWNPI 1225002157
Title
Provider/Owner
Phone
(318) 746-5775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 4456 LA Primary

Addresses

Primary practice location

3018 Old Minden Rd
1117A
Bossier City, LA 71112-2476

Mailing address

3018 Old Minden Rd
1117A
Bossier City, LA 71112-2476
Phone (318) 746-5775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040921000057 LA Part B Supplier - Clinic/Group Practice 9133197890 Receives reassigned benefits from 1 practitioner
Practice locations: Bossier City, LA

National Provider Directory

National Provider Directory

Locations

2285 Benton Rd
Ste A101
Bossier City, LA 71111
Phone (318) 746-5775

3018 Old Minden Rd
Ste 1117A
Bossier City, LA 71112

3018 Old Minden Rd
#1117A
Bossier City, LA 71112
Phone (318) 746-5775

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1730355587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 OLD MINDEN RD",
            "address_2": "1117A",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711122476",
            "telephone_number": "318-746-5775",
            "fax_number": "318-703-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 OLD MINDEN RD",
            "address_2": "1117A",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711122476",
            "telephone_number": "318-746-5775",
            "fax_number": "318-703-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIGH PEREGOY, LCSW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "PEREGOY",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "318-746-5775",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.