Individual provider Active NPI

Chelsea Buck-Leilich, LSW

  • Social Worker
  • Twinsburg, OH
National Provider Identifier
1851972285
Registry record updated Apr 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2106061 Issued in OH
Practice address
9810 Ravenna Rd Ste 2
Twinsburg, OH 44087-1761
Phone
(330) 331-2188
Fax
(330) 331-2188
NPI assigned
Apr 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.2106061 OH Primary

Addresses

Primary practice location

9810 Ravenna Rd Ste 2
Twinsburg, OH 44087-1761

Mailing address

9810 Ravenna Rd Ste 2
Twinsburg, OH 44087-1761
Phone (330) 331-2188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.2106061OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Wellness Group, LLC Social Worker PastSince Apr 25, 2021 Accepting new patients

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": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618617600000",
    "number": "1851972285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810 RAVENNA RD STE 2",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440871761",
            "telephone_number": "330-331-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 RAVENNA RD STE 2",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440871761",
            "telephone_number": "330-331-2188",
            "fax_number": "330-331-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK-LEILICH",
        "first_name": "CHELSEA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2106061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; 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.