Active NPI
Leisa Robinson, SOCIAL WORKER
- Clinical Social Worker
- Coal City, WV
National Provider Identifier
1760927271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- DP00138885
- Practice address
- 850 Independence Rd.
Coal City, WV 25823 - Phone
- (304) 469-2905
- Fax
- (304) 469-2981
- NPI assigned
- Dec 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CP00138885 | WV | |
| Clinical Social Worker | 1041C0700X | DP00138885 | WV | Primary |
Addresses
Primary practice location
850 Independence Rd.
Coal City, WV 25823
Mailing address
497 Mall Rd
Oak Hill, WV 25901-6216
Phone (304) 469-2905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP00138885 | WV | MD | Social Worker |
| DP00138885 | WV | MD | Clinical Social Worker |
| N/A | WV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New River Health Association, Inc. | Current | Accepting new patients | |
| New River Health Association, Inc. | Current | Accepting new patients | |
| New River Health Association, Inc. | Current | Accepting new patients | |
| New River Health Association, Inc. | Current | Accepting new patients | |
| New River Health Association, Inc. | Past | Accepting new patients | |
| New River Health Association, Inc. | Past | Accepting new patients |
Locations
497 Mall Rd
Oak Hill, WV 25901
Phone (304) 469-3261
262 W Oyler Ave
Oak Hill, WV 25901
Phone (304) 465-2171
800 Independence Rd
Sophia, WV 25921
Phone (681) 539-3337
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Oak Hill, WV
- NPI 1386318756
-
- Federally Qualified Health Center (FQHC)
- Scarbro, WV
- NPI 1811983331
-
- Federally Qualified Health Center (FQHC)
- Coal City, WV
- NPI 1699260224
-
- Federally Qualified Health Center (FQHC)
- Coal City, WV
- NPI 1235436478
-
- Federally Qualified Health Center (FQHC)
- Sophia, WV
- NPI 1851836225
-
- Federally Qualified Health Center (FQHC)
- Coal City, WV
- NPI 1366749509
-
- Federally Qualified Health Center (FQHC)
- Sophia, WV
- NPI 1922811744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1760927271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "497 MALL RD",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259016216",
"telephone_number": "304-469-2905",
"fax_number": "304-465-1518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 INDEPENDENCE RD.",
"city": "COAL CITY",
"state": "WV",
"postal_code": "25823",
"telephone_number": "304-469-2905",
"fax_number": "304-469-2981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "LEISA",
"credential": "SOCIAL WORKER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-20",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "CP00138885",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "DP00138885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coal City, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.