Individual provider Active NPI

Leela T. Kausch, LMSW, MA, CVRT

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1902087273
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801065853 Issued in MI
Practice address
1210 Saunders Cres
Ann Arbor, MI 48103-2528
Phone
(734) 904-7854
NPI assigned
Nov 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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 6801065853 MI Primary

Addresses

Primary practice location

1210 Saunders Cres
Ann Arbor, MI 48103-2528

Mailing address

PO Box 3319
Ann Arbor, MI 48106-3319
Phone (734) 904-7854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190405000823 MI Practitioner - Clinical Social Worker 3870834542 Practice locations: Ann Arbor, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

330 E Liberty St
Ann Arbor, MI 48104-2274
Phone (734) 904-0066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1902087273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3319",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481063319",
            "telephone_number": "734-904-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 SAUNDERS CRES",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032528",
            "telephone_number": "734-904-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUSCH",
        "first_name": "LEELA",
        "middle_name": "T.",
        "name_prefix": "Ms.",
        "credential": "LMSW, MA, CVRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.