Leah Elizabeth Sinn Iversen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

33006582A Issued in IN

Practice address

518 N Colony CT
Bloomington, IN 47408-3012

Phone

(812) 320-2017

NPI assigned

Jul 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Maitri Counseling Collective Services LLCGroup PAC ID 6002338407, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maitri Counseling Collective Services LLC

  • Marriage & Family Therapist
  • Indianapolis, IN
  • NPI 1841000536

  Clinical

  Medicare reassignment Care Compare group NPD
• Leah Sinn Iversen LLC

  • Clinical Social Worker
  • Bloomington, IN
  • NPI 1033737978
  NPD Authorized official
• Guiding Roots Management Group

  dba Maitri Counseling Collective LLC

  • Multi-Specialty Clinic/Center
  • Indianapolis, IN
  • NPI 1689437485
  NPD

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1770101875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 N COLONY CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474083012",
            "telephone_number": "812-320-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 N COLONY CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474083012",
            "telephone_number": "812-320-2017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 S Rose Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474013747",
            "country_code": "US",
            "telephone_number": "812-320-2017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINN IVERSEN",
        "first_name": "LEAH",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "33006582A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Simon, LCAC
• Elda H Simpson, MD
• Laura E Sims, NP
• Amandeep Singh, M.D
• Camara Singleton
• Gordon Ray Sinning III, MS, LAT,ATC
• Megan Sipes, RBT
• Sira Imaging Center LLC
• Sira Radiation Oncology Associates LLC
• Jessica L Sira, RBT

• Clinical Social Worker in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.