Individual provider Active NPI

Daniel Leeman, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1922472240
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2014042501 Issued in MO
Practice address
8790 Manchester Rd Ste 205D
Saint Louis, MO 63144-2731
Phone
(636) 686-0692
NPI assigned
Nov 24, 2015
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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 2014042501 MO Primary

Addresses

Primary practice location

8790 Manchester Rd Ste 205D
Saint Louis, MO 63144-2731

Mailing address

8790 Manchester Rd Ste 205D
Saint Louis, MO 63144-2731
Phone (636) 686-0692

Other practice location 1

5730 Chrisbrook Dr
Saint Louis, MO 63128-4411
Phone (314) 956-0654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1922472240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8790 MANCHESTER RD STE 205D",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631442731",
            "telephone_number": "636-686-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 MANCHESTER RD STE 205D",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631442731",
            "telephone_number": "636-686-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5730 Chrisbrook Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631284411",
            "country_code": "US",
            "telephone_number": "314-956-0654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEEMAN",
        "first_name": "DANIEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-24",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2014042501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.