MS. LESLIE HANNAH BRODY (NPI# 1700070844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700070844 |
| Entity Type | Individual |
| Full Name | MS. LESLIE HANNAH BRODY |
| Credential | LISW-S, LICDC |
| Practice Address |
4464 S Dixie Hwy Middletown OH 45005-5464 |
| Practice Telephone | 5136498008 |
| Practice Fax Number | 5136498004 |
| Mailing Telephone | 5136498008 |
| Mailing Fax Number | 5136498004 |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2017-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LICDC.011170 | OH | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
I 0009280 | OH | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
I 0009280 | OH | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I-0009280 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICAID LEGACY NUMBER CHEMICAL DEPENDENCY | 0074861 | 01 |
| OH | MEDICAID LEGACY NUMBER MENTAL HEALTH | 0074946 | 01 |
| OH | MEDICARE INDIVIDUAL PTAN | H291160 | 01 |
| OH | CARF CERTIFICATION | 01-0693 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083179220 | Leslie Gary Brody | Social Worker | 35 Buswell Park, Newton, MA 02458 | 2019-02-01 |
| 1568503290 | Leslie R Brody | Psychologist | 648 Beacon St Rm 230, Boston, MA 02215-2013 | 2007-02-08 |
| 1467416644 | Leslie Elliott Brody | Psychiatry & Neurology | 23521 Paseo De Valencia, Suite 306, Laguna Hills, CA 92653-3107 | 2006-04-14 |
| Street Address |
4464 S DIXIE HWY |
| City | MIDDLETOWN |
| State | OH |
| Zip Code | 45005-5464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679526321 | Brandy J Slavens | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2006-05-17 |
| 1811598964 | Jamie Kleiner | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-11-05 |
| 1750989562 | Betsy Singer-lefton | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-10-14 |
| 1932707742 | David Jablonka | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-10-14 |
| 1457968877 | Samantha Rowe | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-09-29 |
| 1356956353 | Elizabeth Bremenkamp | Social Worker | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-09-15 |
| 1659986446 | Jillian Feazel | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-09-09 |
| 1487265641 | Katelyn Atkinson | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-08-12 |
| 1457979437 | Paige Stafford | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-07-07 |
| 1801418488 | Shannon Gill | Case Manager/Care Coordinator | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053835058 | Cei Physicians P.s.c., LLC | Clinic/Center | 5950 Innovation Dr, Franklin, OH 45005 | 2017-08-01 |
| 1356703367 | Shawnta Wagner-jenkins | Nurse Practitioner | 3240 Towne Blvd, Middletown, OH 45005 | 2016-03-28 |
| 1801279781 | Latania Thomas | Social Worker | 3481 S Dixie Hwy 162, Franklin, OH 45005 | 2015-07-09 |
| 1285026088 | Expert Hearing Clinic, LLC | Hearing Aid Equipment | 8401 Claude Thomas Rd Suite 27, Franklin, OH 45005 | 2015-03-03 |
| 1689062440 | Emergency Medicine Specialists, Inc. | Emergency Medicine | 100 Kettering Way, Franklin, OH 45005 | 2015-01-02 |
| 1972907186 | Talbert House Health Center | Clinic/Center | 333 Conover Dr Ste D, Franklin, OH 45005 | 2014-10-17 |
| 1427347194 | Savio M Kumar | Internal Medicine | 200 Medical Center Dr Ste 360, Middletown, OH 45005 | 2011-04-04 |
| 1467782169 | Darcy Joann Thompson | Licensed Practical Nurse | 139 Boulder Dr., Franklin, OH 45005 | 2010-01-04 |
| 1912132028 | John F Waters | Nurse Practitioner | 8401 Claude Thomas Rd Ste 21d, Franklin, OH 45005 | 2009-05-18 |
| 1528201688 | Amy Michelle Renshaw | Obstetrics & Gynecology | 200 Medical Center Dr Ste 200, Middletown, OH 45005 | 2009-04-19 |
| Find all providers in zip 45005 | ||||
| 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 |
|---|---|---|---|---|
| 1578163614 | Ella Behavioral Health and Consulting LLC | Social Worker | 602 Cambridge Cmns, Middletown, CT 06457-5871 | 2020-10-28 |
| 1285249797 | Lucinda M Cadet | Social Worker | 600 N. Broad Street, Suite 5, #768, Middletown, DE 19709 | 2020-09-11 |
| 1497373807 | Cassandra Mello | Social Worker | 38 Commerce Dr, Middletown, RI 02842-6291 | 2020-07-13 |
| 1386282820 | Ryan Cooperhouse | Social Worker | 19 Kamar Ct, Middletown, NJ 07748-3424 | 2019-12-16 |
| 1356806483 | Terry Janette Gaspard | Social Worker | 42 Valley Rd Ste 3c, Middletown, RI 02842-6376 | 2019-02-03 |
| 1821588468 | Full and Fit Family LLC | Social Worker | 363 Main St Ste 513, Middletown, CT 06457-3359 | 2018-05-17 |
| 1205324845 | Meryle Robin Lederer | Social Worker | 35 Randall Hts, Middletown, NY 10940-4630 | 2018-04-30 |
| 1902393986 | Akeeso Counseling Services | Social Worker | 608 Ingrassia Rd, Middletown, NY 10940-2237 | 2018-04-16 |
| 1962909424 | Jannett Julia Hernandez | Social Worker | 1227 Central Ave, Middletown, OH 45044-4103 | 2018-04-11 |
| 1497252134 | Michael Miarecki Counseling LLC | Social Worker | 363 Main St Ste 311, Middletown, CT 06457-3359 | 2018-04-10 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 45005 |
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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.