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MICHELE LOUISE LEADER LCSW
NPI 1033235460
Social Worker - Clinical in Dallastown, PA

Active since March 21, 2007PECOS EnrolledAccepts Medicare Assignment
249 TROY RD, DALLASTOWN, PA 17313(717) 309-1661 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michele Louise Leader Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELE LOUISE LEADER LCSW (NPI 1033235460) is an individual clinical provider in Dallastown, Pennsylvania, licensed in Pennsylvania (CW015658) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1033235460
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELE LOUISE LEADERCredential: LCSW
Location Address249 TROY RDDallastown, PA 17313-9626
Mailing Address249 Troy RdDallastown, PA 17313-9626 · (717) 309-1661
Phone(717) 309-1661
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 21, 2007
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
✔ NPI 1033235460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW015658
Definition
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.
249 TROY RD, Dallastown, PA 17313
Open in Google Maps ↗

Other Identifiers 1

Medicaid0016190000004PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michele Louise Leader Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789909631
PECOS Enrollment IDI20150217001316
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Michele Leader reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional Counseling Consulting & Human Services LLC
68 mi
Psychiatry
1 W CENTRE ST
Mahanoy City, PA 17948
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 18 clinicians in this Medicare group
NPI 1366685661 (570) 622-9101
Grow Healthcare Group Of New Jersey PC
150 mi
Mental Health
221 RIVER ST. FL 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 673 clinicians in this Medicare group
NPI 1841949328 (201) 439-8902
Grow Healthcare Group PA
995 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia, Pennsylvania and South Carolina enrollments
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
74 services12 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
43 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17313 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAVEN'S TAPESTRY HUMAN SUPPORT PROFESSIONAL SERVICES
Social Worker (Clinical)
249 TROY RD
DALLASTOWN, PA 17313
York County (717) 309-1661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michele Leader's NPI number?

The NPI number for Michele Leader is 1033235460. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Michele Leader located?

Michele Leader practices at 249 Troy Rd, Dallastown, PA 17313. The listed phone number is (717) 309-1661.

What is Michele Leader's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michele Leader enrolled in Medicare?

Yes. Michele Leader is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michele Leader's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michele Leader reassigns Medicare benefits to 3 organizations: Professional Counseling Consulting & Human Services LLC (Mahanoy City, PA), Grow Healthcare Group Of New Jersey PC (Hoboken, NJ) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michele Leader's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michele Leader accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Oscar Health and UnitedHealthcare list Michele Leader as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michele Leader was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.