Active NPI
Leanedra K Willis-Lewis, LICSW
- Social Worker
- Gardendale, AL
National Provider Identifier
1912538141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4379G
- Practice address
- 600 Main St Ste 101
Gardendale, AL 35071-3649 - Phone
- (205) 607-2331
- Fax
- (205) 278-8755
- NPI assigned
- Jan 27, 2020
- Last updated
- Jan 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4379G | AL | Primary |
Addresses
Primary practice location
600 Main St Ste 101
Gardendale, AL 35071-3649
Mailing address
PO Box 2021
Gardendale, AL 35071-1880
Phone (205) 607-2331
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | latonia@safecounseling.net |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4379G | AL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sylacauga Counseling & Wellness, LLC | Single Specialty | Current | Accepting new patients |
| Safe Counseling Services, LLC | Single Specialty | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Latonia Sims
- Clinical Social Worker
- Gardendale, AL
- NPI 1992220503
Single Specialty
-
- Clinical Social Worker
- Sylacauga, AL
- NPI 1205598844
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1912538141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2021",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350711880",
"telephone_number": "205-607-2331",
"fax_number": "205-278-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MAIN ST STE 101",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350713649",
"telephone_number": "205-607-2331",
"fax_number": "205-278-8755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS-LEWIS",
"first_name": "LEANEDRA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-27",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AL",
"license": "4379G",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "latonia@safecounseling.net",
"affiliation": "N",
"address_1": "600 Main St Ste 101",
"city": "Gardendale",
"state": "AL",
"country_code": "US",
"postal_code": "350713649",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gardendale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.