Active NPI
Leslie A Moriarty
- Clinical Social Worker
- West Union, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 126749
- Practice address
- 112 Jefferson St
West Union, IA 52175-1022 - Phone
- (563) 422-3811
- NPI assigned
- Jun 5, 2007
- Last updated
- Oct 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 126749 | IA | MD | Clinical Social Worker |
| 06682 | KS | MD | Clinical Social Worker |
| 080766 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmer Lutheran Health Center, Inc. | Current | Accepting new patients | |
| Erwin Psychiatric NP PLLC | Past | 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
- 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.
-
dba Gundersen Palmer Lutheran Hospital and Clinics
- Critical Access Hospital
- West Union, IA
- NPI 1891744108
-
- Social Worker
- Elmira, NY
- NPI 1730228636
-
- Psychiatric/Mental Health Nurse Practitioner
- Corning, NY
- NPI 1639939069
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.