Leslie Tenbroeck, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW012948 Issued in PA

Practice address

2151 Emrick Blvd Ste 201
Bethlehem, PA 18020-8039

Phone

(484) 537-7515

Fax

(484) 727-8178

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aruht Partners IncGroup PAC ID 0446799175, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aruht Partners Inc

  dba Ellie Mental Health

  • Clinical Social Worker
  • Bethlehem, PA
  • NPI 1801636386
  Medicare reassignment Care Compare group NPD
• Julia Dyckman Andrus Memorial, Inc.

  dba Andrus Childrens Center

  • Community/Behavioral Health Agency
  • White Plains, NY
  • NPI 1285628552
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1982817185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 EMRICK BLVD STE 201",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208039",
            "telephone_number": "484-537-7515",
            "fax_number": "484-727-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 EMRICK BLVD STE 201",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208039",
            "telephone_number": "484-537-7515",
            "fax_number": "484-727-8178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Dock St",
            "address_2": "Andrus Children's Center",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107012733",
            "country_code": "US",
            "telephone_number": "914-966-1109",
            "fax_number": "914-965-9705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENBROECK",
        "first_name": "LESLIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012948",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "068561",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00068561",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis A Tejada, MD
• Wilma Tejeda
• Ja'Shon James Teller, ATS
• Steven R. Tellschow, M.D.
• Cory Templeton
• Dean Tencza
• John Michael Bretana Teotico, M.D. M.B.A
• Nataliya Ternopolska, M.D.
• Daniel John Terpstra, D.O.
• Nicolas Terreri

• Clinical Social Worker in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.