Lesa Leavelle, LCSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C008533 Issued in NC

Practice address

201 Government Ave SW Ste 305
Hickory, NC 28602-2954

Phone

(828) 267-1740

Fax

(828) 267-1746

NPI assigned

Aug 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Charm Behavioral Health Services Inc

  • Clinical Social Worker
  • McKinney, TX
  • NPI 1942949714
  NPD
• New Directions CS PLLC

  • Community/Behavioral Health Agency
  • Lenoir, NC
  • NPI 1104957265

  Professional

  NPD (past)

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1831645381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WILKESBORO BLVD NE STE 1A",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454498",
            "telephone_number": "828-754-6087",
            "fax_number": "828-754-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GOVERNMENT AVE SW STE 305",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286022954",
            "telephone_number": "828-267-1740",
            "fax_number": "828-267-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVELLE",
        "first_name": "LESA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "C008533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE LICENSE",
            "identifier": "C008533",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradford W Lawrence, PA-C
• John Russell Lawrimore, MPT
• Suzanne Lawrimore, LCSW
• Ethan Leabhart, DO
• Matthew Thomas Leach
• Mark Lechtner
• Mackenzie Sewell Lecroy, DDS
• David Nmi Lee
• May Khang Lee, FNP
• Robert Hammill Lee, MD

• All providers in Hickory, NC
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.