Individual provider Active NPI

Leslie Kate Faulhaber, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1760740583
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
62459 Issued in TX
Practice address
9304 Evening Primrose Path
Austin, TX 78750-3629
Phone
(512) 632-8633
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 28205 CA
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 62459 TX Primary

Addresses

Primary practice location

9304 Evening Primrose Path
Austin, TX 78750-3629

Mailing address

9304 Evening Primrose Path
Austin, TX 78750-3629
Phone (512) 632-8633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190416002428 TX Practitioner - Clinical Social Worker 9830430099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9304 Evening Primrose Path
Austin, TX 78750-3629
Phone (512) 632-8633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28205CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LF LCSW LLC Clinical CurrentSince Oct 6, 2021 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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1760740583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9304 EVENING PRIMROSE PATH",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503629",
            "telephone_number": "512-632-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9304 EVENING PRIMROSE PATH",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503629",
            "telephone_number": "512-632-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULHABER",
        "first_name": "LESLIE",
        "middle_name": "KATE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "28205",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.