Lesley James Head, LCSW
Social Worker, Clinical in Hixson, TN. Individual provider (NPI-1).
NPI number1124323969
StatusActive
Last updated in NPPESMar 2, 2020
Details
- NPI
- 1124323969
- Entity type
- Individual (NPI-1)
- Name
- Mr. Lesley James Head
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2011
- Certification date
- Mar 2, 2020
- Last updated
- Mar 2, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6268 | TN | Yes |
Practice location
5819 Winding Ln Ste 133Hixson, TN 37343-4067
Phone 423-933-2575 · Fax 423-285-6160
Mailing address
1103 E Dallas Rd Apt 30Chattanooga, TN 37405-2336
Phone 415-999-4630
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