Individual provider Active NPI

Brandon Leboeuf, MSW, LCSW

  • Clinical Social Worker
  • Downingtown, PA
National Provider Identifier
1821733924
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022670 Issued in PA
Practice address
721 E Lancaster Ave Ste 2C
Downingtown, PA 19335-2719
Phone
(484) 237-1853
Fax
(484) 237-1426
NPI assigned
May 3, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW022670 PA Primary

Addresses

Primary practice location

721 E Lancaster Ave Ste 2C
Downingtown, PA 19335-2719

Mailing address

721 E Lancaster Ave Ste 2C
Downingtown, PA 19335-2719
Phone (484) 237-1853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220519001289 PA Practitioner - Clinical Social Worker 2163809799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Beginnings Therapeutic ServicesGroup PAC ID 0446593776, 3 clinicians

Practice addresses (Care Compare)

721 E Lancaster Ave
Suite 2C
Downingtown, PA 19335-2719
Phone (484) 237-1853

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW022670PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Therapeutic Services Clinical CurrentSince May 16, 2022 Accepting new patients

Locations

721 E Lancaster Ave
Ste 2C
Downingtown, PA 19335
Phone (484) 237-1853

721 E Lancaster Ave
Ste 1A
Downingtown, PA 19335
Phone (484) 237-1853

Organizations & group practices 1

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": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1821733924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 E LANCASTER AVE STE 2C",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352719",
            "telephone_number": "484-237-1853",
            "fax_number": "484-237-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 E LANCASTER AVE STE 2C",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352719",
            "telephone_number": "484-237-1853",
            "fax_number": "484-237-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOEUF",
        "first_name": "BRANDON",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

Verify at the official NPI Registry.