Individual provider Active NPI

Leann Leach, MSW LCSW

  • Clinical Social Worker
  • Edmond, OK
National Provider Identifier
1922030758
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1548 Issued in OK
Practice address
2660 Bobwhite Trail
Edmond, OK 73025
Phone
(405) 340-8260
Fax
(405) 341-0049
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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 1548 OK Primary

Addresses

Primary practice location

2660 Bobwhite Trail
Edmond, OK 73025

Mailing address

2660 Bobwhite Trail
Edmond, OK 73025
Phone (405) 340-8260

Other identifiers 1

IdentifierTypeStateIssuer
100721530AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20100719000413 OK Practitioner - Clinical Social Worker 6709918253 Practice locations: Edmond, OK

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 Medical Ctr Dr
Suite 6
Edmond, OK 73034-6359
Phone (405) 340-8260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1922030758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 BOBWHITE TRAIL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73025",
            "telephone_number": "405-340-8260",
            "fax_number": "405-341-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 BOBWHITE TRAIL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73025",
            "telephone_number": "405-340-8260",
            "fax_number": "405-341-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "LEANN",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100721530A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.