Individual provider Active NPI

Leslie Dominique Barroso, LCSW

  • Social Worker
  • Chelsea, MI
National Provider Identifier
1821590316
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801106770 Issued in MI
Practice address
114 N Main St Ste 11
Chelsea, MI 48118-1514
Phone
(734) 531-9490
NPI assigned
Mar 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801106770 MI Primary
Social Worker 104100000X LC23056 ME

Addresses

Primary practice location

114 N Main St Ste 11
Chelsea, MI 48118-1514

Mailing address

25 Mill Brook Rd
Bar Harbor, ME 04609-7352
Phone (207) 460-7020

Other practice location 1

25 Mill Brook Rd
Bar Harbor, ME 04609-7352
Phone (207) 460-7020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, ME2 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
I20200429000316 MI Practitioner - Clinical Social Worker 4385074640 Reassigns benefits to 1 organization
I20241113003477 ME Practitioner - Clinical Social Worker 4385074640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

114 N Main St
Suite 11
Chelsea, MI 48118-1514
Phone (734) 531-9490

25 Mill Brook Rd
Bar Harbor, ME 04609-7352
Phone (207) 460-7020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC23056MEMDSocial Worker
6801106770MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maturity Matters Clinical CurrentSince Nov 20, 2022 Accepting new patients
Barroso Consultation and Therapy, LLC Social Worker CurrentSince Dec 1, 2022 Accepting new patients

Locations

220 Collingwood St
Ste 140
Ann Arbor, MI 48103
Phone (734) 274-0536

114 S Main St
Ste 11
Chelsea, MI 48118
Phone (734) 531-9490

114 N Main St
Ste 11
Chelsea, MI 48118
Phone (734) 237-9500

Organizations & group practices 2

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": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1821590316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MILL BROOK RD",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046097352",
            "telephone_number": "207-460-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST STE 11",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181514",
            "telephone_number": "734-531-9490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Mill Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Bar Harbor",
            "state": "ME",
            "postal_code": "046097352",
            "country_code": "US",
            "telephone_number": "207-460-7020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARROSO",
        "first_name": "LESLIE",
        "middle_name": "DOMINIQUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801106770",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LC23056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

Verify at the official NPI Registry.