Individual provider Active NPI

Leisa Robinson, SOCIAL WORKER

  • Clinical Social Worker
  • Coal City, WV
National Provider Identifier
1760927271
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00138885 Issued in WV
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

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712003391 WV Practitioner - Clinical Social Worker 1557694924 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP00138885WVMDSocial Worker
DP00138885WVMDClinical Social Worker
N/AWVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New River Health Association, Inc. CurrentSince Jun 22, 2021 Accepting new patients
New River Health Association, Inc. Current Accepting new patients
New River Health Association, Inc. CurrentSince May 20, 2022 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.

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

Verify at the official NPI Registry.