LESLIE KIYANFAR (NPI# 1558609958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558609958 |
| Entity Type | Organization |
| Organization Name | LESLIE KIYANFAR |
| Practice Address |
4266 W Main St Ste 100 Gray LA 70359-6421 |
| Mailing Address |
1060 Oak Harbor Dr Morgan City LA 70380-8041 |
| Practice Telephone | 9856885386 |
| Practice Fax Number | 9853847432 |
| Mailing Telephone | 9856885386 |
| Mailing Fax Number | 9853847432 |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2013-01-21 |
| Authorized Official Name | LESLIE KIYANFAR (OWNER/PROVIDER) |
| Authorized Official Telephone | 9856885386 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7233 | LA | Behavioral Health & Social Service Providers |
| Street Address |
4266 W MAIN ST STE 100 |
| City | GRAY |
| State | LA |
| Zip Code | 70359-6421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285662254 | Pamela Dupont | Registered Nurse | 4266 W Main St Ste 100, Gray, LA 70359-6421 | 2006-06-29 |
| 1154947489 | Building Bridges Behavioral Health, LLC | Counselor | 4266 W Main St Ste 100, Gray, LA 70359-6421 | 2020-06-23 |
| 1902355001 | Amelia Laurent-julien | Counselor | 4266 W Main St Ste 100, Gray, LA 70359-6421 | 2016-09-29 |
| 1700243623 | Mia Savoie | Nurse Practitioner | 4266 W Main St Ste 100, Gray, LA 70359-6421 | 2016-01-22 |
| 1588037279 | Bill Borskey Lcsw LLC | Social Worker | 4266 W Main St Ste 100, Gray, LA 70359-6421 | 2015-11-04 |
| 1700257615 | South Louisiana Wellness Services LLC | General Practice | 4266 W Main St Ste 100, Gray, LA 70359-6421 | 2015-10-19 |
| 1194130237 | Southeast Louisiana Social Service Solutions, LLC | Nurse Practitioner | 4266 W Main St Ste 100, Gray, LA 70359-6421 | 2014-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734785 | Cardiovascular Institute of The South Asc, LLC | Clinic/Center | 191 Innovation Court, Gray, LA 70359 | 2020-06-09 |
| 1265985915 | Gavin Triche | Physician Assistant | 128 Neuroscience Court, Gray, LA 70359 | 2016-07-29 |
| 1992939367 | Donna Marie Pugh | Health Maintenance Organization | 216 Champion St, Gray, LA 70359 | 2009-05-13 |
| 1700877297 | Ultrasound Enterprise LLC | Radiology | 165 Frontage Road, Suite B, Gray, LA 70359 | 2005-11-02 |
| 1083610364 | Imaging Center of South Louisiana, LLC | Radiology | 114 Neuroscience Court, Gray, LA 70359 | 2005-06-22 |
| 1285630129 | Southeast Neuroscience Center, LLC | Specialist | 128 Neuroscience Ct, Gray, LA 70359 | 2005-06-24 |
| 1750387676 | Donald Severinus Gervais Jr. | Psychiatry & Neurology | 128 Neuroscience Ct, Gray, LA 70359 | 2005-06-24 |
| 1114445194 | Teri Lynn Chatagnier | Counselor | 307 Lola St, Gray, LA 70359-3017 | 2017-08-30 |
| 1275039695 | Lashekia J Toussaint | Nurse Practitioner | 137 Marietta Pl, Gray, LA 70359-3119 | 2018-04-04 |
| 1063629772 | Tri-parish Orthopedic & Neurosurgical Institute,llc | Specialist | 115 Eureka Dr, Gray, LA 70359-3247 | 2007-05-16 |
| Find all providers in zip 70359 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750871653 | Arsenio Santamaria | Social Worker | 26 Main, Gray, ME 04039 | 2018-05-16 |
| 1992115976 | Caroline Bright | Social Worker | 31 Main St Ste 2, Gray, ME 04039-9452 | 2014-04-30 |
| 1639470974 | Amy L Ranco | Social Worker | 10 Libby Hill Rd, Gray New Gloucester High School, Gray, ME 04039-9712 | 2010-11-03 |
| 1992938468 | Melissa Jane Bowie | Social Worker | 15 Marshview Rd, Gray, ME 04039-9653 | 2009-08-31 |
| 1396975587 | Judith Colby-walker | Social Worker | 67 Shaker Rd Apt 7, Gray, ME 04039-9640 | 2009-07-22 |
| 1407989478 | Karen Burke Lane | Social Worker | 31 Main St Ste 1, Gray, ME 04039 | 2007-03-13 |
| 1952334021 | Christopher Aaron Counseling Center LLC | Social Worker | 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 | 2006-07-09 |
| 1407884216 | Mark R. Olson | Social Worker | 56 Charlonate Dr, Gray, ME 04039-9764 | 2006-06-29 |
| 1457318263 | Sandra J Hinckley | Social Worker | 67 Shaker Rd Ste 7, Christopher Aaron Counseling Center, Gray, ME 04072-1536 | 2006-04-26 |
| 1720527914 | Olivia Testa | Social Worker | 306 Shaker Rd, Gray, ME 04039-9674 | 2017-02-21 |
| Find all providers in GRAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.