Individual provider Active NPI

Leslie A Moriarty

  • Clinical Social Worker
  • West Union, IA
National Provider Identifier
1790987162
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
126749 Issued in IA
Practice address
112 Jefferson St
West Union, IA 52175-1022
Phone
(563) 422-3811
NPI assigned
Jun 5, 2007
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Clinical Social Worker 1041C0700X 06682 KS
Clinical Social Worker 1041C0700X 126749 IA Primary
Clinical Social Worker 1041C0700X 080766 NY

Addresses

Primary practice location

112 Jefferson St
West Union, IA 52175-1022

Mailing address

112 Jefferson St
West Union, IA 52175-1022
Phone (563) 422-3811

Other practice location 1

1110 Columbine Dr Ste 100
Holton, KS 66436-8824
Phone (785) 364-2124 ext. 49658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191021001936 NY Practitioner - Clinical Social Worker 3476885674 Reassigns benefits to 1 organization
I20241114001085 IA Practitioner - Clinical Social Worker 3476885674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Buffalo School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Resources of Jackson Co IncGroup PAC ID 7810807690, shared by 8 NPIs, 27 clinicians

Practice addresses (Care Compare)

110 Jefferson St
West Union, IA 52175-1022
Phone (563) 422-3817

1110 Columbine Dr
Holton, KS 66436-8824
Phone (785) 364-2116

112 Jefferson St
West Union, IA 52175-1022
Phone (563) 422-3811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
126749IAMDClinical Social Worker
06682KSMDClinical Social Worker
080766NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Palmer Lutheran Health Center, Inc. CurrentSince Nov 6, 2024 Accepting new patients
Erwin Psychiatric NP PLLC PastSince Mar 24, 2024 Accepting new patients

Locations

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

Interoperability endpoints

  • Direct secure messaging: leslie.moriarty.1@16424.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1790987162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 JEFFERSON ST",
            "city": "WEST UNION",
            "state": "IA",
            "postal_code": "521751022",
            "telephone_number": "563-422-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JEFFERSON ST",
            "city": "WEST UNION",
            "state": "IA",
            "postal_code": "521751022",
            "telephone_number": "563-422-3811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Columbine Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Holton",
            "state": "KS",
            "postal_code": "664368824",
            "country_code": "US",
            "telephone_number": "785-364-2124 x49658",
            "fax_number": "785-364-9612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORIARTY",
        "first_name": "LESLIE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06682",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "126749",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Union, IA

Sources for this page

Verify at the official NPI Registry.