Leslie Anne Brockman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61411016 Issued in WA

Practice address

1521 E Illinois Ave Ste 104
Spokane, WA 99207-5147

Phone

(509) 564-9363

NPI assigned

Mar 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Leslie Anne Vilhauer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Eagle Behavioral Health LLC

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1811763709

  Clinical

  NPD Authorized official
• Frontier Behavioral Health

  • Community/Behavioral Health Agency
  • Spokane, WA
  • NPI 1861495327

  Clinical

  NPD (past)

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1760940977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 E ILLINOIS AVE STE 104",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992075147",
            "telephone_number": "509-564-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 E ILLINOIS AVE STE 104",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992075147",
            "telephone_number": "509-564-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "LESLIE",
        "middle_name": "ANNE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61411016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "VILHAUER",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexis Stephen Brock, RN
• Greg R Brockbank, DPM
• Ethan Lee Brockett, DDS
• Brianna Babe-Dorothy Brockie, BDC.BD.70124549
• Jaime Lynn Brockie
• Alery Michelle Broderius, RN
• Mariya Brodigan
• Scott Andrew Robert Brodrick
• Joan Broeckling, MA
• Kimberly Broffitt

• All providers in Spokane, WA
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.