Organization Active NPI

Leslie Rouder LCSW PA

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1821330077
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5937 Issued in FL
Legal business name
LESLIE ROUDER LCSW PA
Practice address
21643 Cypress Rd
Apt 14-F
Boca Raton, FL 33433-3219
Phone
(561) 706-1274
Fax
(561) 300-2519
NPI assigned
Mar 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Ms. Leslie Rouder, LCSWNPI 1770811325
Title
Director
Phone
(561) 706-1274

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW5937 FL Primary

Addresses

Primary practice location

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

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130613000164 FL Part B Supplier - Clinic/Group Practice 7113166612 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1821330077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21643 CYPRESS RD",
            "address_2": "APT 14-F",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333219",
            "telephone_number": "561-706-1274",
            "fax_number": "561-300-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21643 CYPRESS RD",
            "address_2": "APT 14-F",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333219",
            "telephone_number": "561-706-1274",
            "fax_number": "561-300-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE ROUDER LCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "ROUDER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-706-1274",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.