Individual provider Active NPI

Leigha M Perlewitz, LCSW

  • Clinical Social Worker
  • Neenah, WI
National Provider Identifier
1891348439
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9711-123 Issued in WI
Practice address
1509 S Commercial St
Neenah, WI 54956-6152
Phone
(920) 722-8150
Fax
(920) 722-0142
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 131285-121 WI
Clinical Social Worker 1041C0700X 9711-123 WI Primary

Addresses

Primary practice location

1509 S Commercial St
Neenah, WI 54956-6152

Mailing address

1509 S Commercial St
Neenah, WI 54956-6152
Phone (920) 722-8150

Other practice location 1

2500 E Capitol Dr
Appleton, WI 54911-8735
Phone (920) 720-2300

Other practice location 2

1061 W Mason St
Green Bay, WI 54303-1858
Phone (920) 437-8256

Other names 1

  • Leigha M Fiebelkorn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20210715000021 WI Practitioner - Clinical Social Worker 9133521024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Amanda Donath Psychological Services S CGroup PAC ID 6406248822, 11 clinicians
Reach Counseling Services, IncGroup PAC ID 8022482447, 5 clinicians

Practice addresses (Care Compare)

101 W Edison Ave
Suite 246
Appleton, WI 54915-7807
Phone (262) 226-2006

1509 S Commercial St
Neenah, WI 54956-6152
Phone (920) 722-8150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
131285-121WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Donath Psychological Services S C CurrentSince Jun 1, 2026 Accepting new patients
Reach Counseling Services, Inc. Clinical CurrentSince Jan 17, 2023 Accepting new patients

Locations

101 W Edison Ave
Ste 246
Appleton, WI 54915
Phone (262) 226-2006

400 N Richmond St
Ste F
Appleton, WI 54911
Phone (920) 358-5764

1509 S Commercial St
Neenah, WI 54956
Phone (920) 470-4503

712 Summit Ave
Oconomowoc, WI 53066
Phone (262) 226-2006

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1891348439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549566152",
            "telephone_number": "920-722-8150",
            "fax_number": "920-722-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549566152",
            "telephone_number": "920-722-8150",
            "fax_number": "920-722-0142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 E Capitol Dr",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549118735",
            "country_code": "US",
            "telephone_number": "920-720-2300",
            "fax_number": "920-720-3719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1061 W Mason St",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543031858",
            "country_code": "US",
            "telephone_number": "920-437-8256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERLEWITZ",
        "first_name": "LEIGHA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "131285-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9711-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGHA",
            "last_name": "FIEBELKORN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.