NPIMap

Individual provider Active NPI

Hector De Leon, LSW, CADC

  • Social Worker
  • Caldwell, ID
National Provider Identifier
1992131056
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LSW-24218 Issued in ID
Practice address
704 Albany St
Caldwell, ID 83605-3501
Phone
(208) 454-5133
Fax
(208) 454-0749
NPI assigned
Sep 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW-24218 ID Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10002 ID

Addresses

Primary practice location

704 Albany St
Caldwell, ID 83605-3501

Mailing address

704 Albany St
Caldwell, ID 83605-3501
Phone (208) 454-5133

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

LicenseStateTypeSpecialty
10002IDMDAddiction (Substance Use Disorder) Counselor
LSW-24218IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services Center Past Accepting new patients
Family Services Counseling Center Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1992131056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 ALBANY ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836053501",
            "telephone_number": "208-454-5133",
            "fax_number": "208-454-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 ALBANY ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836053501",
            "telephone_number": "208-454-5133",
            "fax_number": "208-454-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "HECTOR",
        "credential": "LSW, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LSW-24218",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "10002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.