Leslie Denise, LCSW
Individual provider Active NPI Clinical Social Worker · Bay Saint Louis, MS
NPI 1790727378 · NPPES record last updated Jul 29, 2024
Key facts
- NPI
- 1790727378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C9347 (MS)
- Practice address
- 303 Highway 90
Bay Saint Louis, MS 39520-2832 - Phone
- (228) 471-3141
- NPI assigned
- Jun 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
303 Hwy 90
Bay Saint Louis, MS 39520-2832
Phone (228) 471-3141
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191113002806 | MS | Practitioner - Clinical Social Worker | 8527075472 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C9347 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leslie Therapy, LLC | Clinical | Current |
Accepting new patients |
Locations
303 Highway 90
Bay St Louis, MS 39520
Phone (228) 238-0992
544 Main St
Bay St Louis, MS 39520
Phone (228) 471-3141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C9347 | MS | Yes |
Addresses
Primary practice location
303 Highway 90
Bay Saint Louis, MS 39520-2832
Mailing address
303 Highway 90
Bay Saint Louis, MS 39520-2832
Phone (228) 471-3141
Other names
- Leslie Denise Fitzmorris
Other providers in Bay Saint Louis, MS
- Shanika Broussard
- Care4All Caregivers, LLC
- Angel J. L. Carpenter
- Jillian Colleen Colon
- Covenant Diagnostics
- Dr Richard K Akin
- Noel M Duplantier
- Emily Gilkeson
- Richard I Hadden
- Hancock Chiroractic LLC
All providers in Bay Saint Louis, MS · Clinical Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.