Individual provider Active NPI

Leslie Rouder, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1770811325
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5937 Issued in FL
Practice address
21643 Cypress Rd Apt 14F
Boca Raton, FL 33433-3219
Phone
(561) 706-1274
NPI assigned
Nov 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW5937 FL Primary

Addresses

Primary practice location

21643 Cypress Rd Apt 14F
Boca Raton, FL 33433-3219

Mailing address

21643 Cypress Rd Apt 14F
Boca Raton, FL 33433-3219
Phone (561) 706-1274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130613000251 FL Practitioner - Clinical Social Worker 7012156524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Barry University School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21643 Cypress Rd
14F
Boca Raton, FL 33433-3219
Phone (561) 706-1274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW5937FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leslie Rouder LCSW PA Clinical CurrentSince Mar 25, 2013 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": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1770811325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21643 CYPRESS RD APT 14F",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333219",
            "telephone_number": "561-706-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21643 CYPRESS RD APT 14F",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333219",
            "telephone_number": "561-706-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUDER",
        "first_name": "LESLIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.