Jesse Kleckner
Social Worker in Leesburg, VA. Individual provider (NPI-1).
NPI number1780048355
StatusActive
Last updated in NPPESApr 11, 2016
Details
- NPI
- 1780048355
- Entity type
- Individual (NPI-1)
- Name
- Jesse Kleckner
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2016
- Last updated
- Apr 11, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
102 Heritage Way Ne Ste 302Leesburg, VA 20176-4544
Phone 703-771-5100 · Fax 703-777-0170
Mailing address
102 Heritage Way Ne Ste 302Leesburg, VA 20176-4544
Phone 703-771-5100 · Fax 703-777-0170
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 19 Social Worker providers in Leesburg · All 2,386 providers in Leesburg
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