Leslie Ann Konek-Schlax, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2531-123 Issued in WI

Practice address

6121 Green Bay Rd
Kenosha, WI 53142-2926

Phone

(262) 652-7222

Fax

(262) 652-1734

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Interconnections, SC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kenosha, WI
  • NPI 1336214543
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1972663870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 WASHINGTON RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531444220",
            "telephone_number": "262-652-7222",
            "fax_number": "262-652-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 GREEN BAY RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422926",
            "telephone_number": "262-652-7222",
            "fax_number": "262-652-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONEK-SCHLAX",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "2531-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "182658",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39555200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "80448",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "234314",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7093066",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE (CHAMPUS)",
            "identifier": "W009675",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENPATICO BEHAVIORAL HLTH",
            "identifier": "900693",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miki Kobayashi, PT, DPT
• Christine Koessl, BCBA
• Brock Komar
• Marissa Gabrielle Komar
• Benjamin William Komistra, PHARMD, RPH
• Angela Kongshaug
• Juliane Korman
• Elena Korniychuk, M.D.
• Connie Kornman, RN
• Diane E Kosar

• Social Worker in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.