Individual provider Active NPI

William Lieder, LCSW-BACS

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1841876133
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4575 Issued in LA
Practice address
701 Metairie Rd.
Ste 1B102 #552923
Metairie, LA 70005
Phone
(504) 866-9622
NPI assigned
Mar 18, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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 4575 LA Primary

Addresses

Primary practice location

701 Metairie Rd.
Ste 1B102 #552923
Metairie, LA 70005

Mailing address

701 Metairie Rd.
Ste 1B102 #552923
Metairie, LA 70005
Phone (504) 866-9622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 2, 2024 through Jul 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
William K Lieder LLC Clinical CurrentSince Mar 28, 2021 Accepting new patients

Locations

701 Metairie Rd
Ste 1B102
Metairie, LA 70005
Phone (504) 866-9622

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1841876133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 METAIRIE RD.",
            "address_2": "STE 1B102 #552923",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70005",
            "telephone_number": "504-866-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 METAIRIE RD.",
            "address_2": "STE 1B102 #552923",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70005",
            "telephone_number": "504-866-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEDER",
        "first_name": "WILLIAM",
        "credential": "LCSW-BACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.