LESLIE A WILFONG MSW, LCSW
NPI 1164880852
Social Worker - Clinical in Bloomington, IN

Active since February 09, 2016PECOS EnrolledAccepts Medicare Assignment
645 S ROGERS ST, BLOOMINGTON, IN 47403(812) 339-1691(812) 337-2438 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Leslie A Wilfong Msw, Lcsw NPPES

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

LESLIE A WILFONG MSW, LCSW (NPI 1164880852) is an individual clinical provider in Bloomington, Indiana, licensed in Indiana (34002347A) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1164880852
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLESLIE A WILFONGCredential: MSW, LCSW
Location Address645 S ROGERS STBloomington, IN 47403-2353
Mailing Address645 S Rogers StBloomington, IN 47403-2353 · (812) 339-1691 · Fax (812) 337-2438
Fax(812) 337-2438
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateFebruary 9, 2016
NPI 1164880852 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 IN · 34002347A
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.

645 S ROGERS ST, Bloomington, IN 47403

Other Names 1

Other Name (5)Leslie A Wilfong-emmons

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Leslie A Wilfong Msw, 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 ID6305142704
PECOS Enrollment IDI20160310002254
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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 $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 20

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

Counselor
645 S ROGERS ST
BLOOMINGTON, IN 47403
Social Worker (Clinical)
645 S ROGERS ST
BLOOMINGTON, IN 47403
Pharmacist
645 S ROGERS ST
BLOOMINGTON, IN 47403
Social Worker (Clinical)
645 S ROGERS ST
BLOOMINGTON, IN 47403
Case Manager/Care Coordinator
645 S ROGERS ST
BLOOMINGTON, IN 47403
Social Worker (Clinical)
645 S ROGERS ST
BLOOMINGTON, IN 47403
Psychiatry & Neurology (Psychiatry)
645 S ROGERS ST
BLOOMINGTON, IN 47403
Psychologist (Clinical)
645 S ROGERS ST
BLOOMINGTON, IN 47403

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 Leslie Wilfong's NPI number?

The NPI number for Leslie Wilfong is 1164880852. It was assigned to this individual provider in the NPPES registry on February 9, 2016. The provider is also known as Leslie A Wilfong-Emmons.

Where is Leslie Wilfong located?

Leslie Wilfong practices at 645 S Rogers St, Bloomington, IN 47403. The listed phone number is (812) 339-1691.

What is Leslie Wilfong's specialty?

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

Is Leslie Wilfong enrolled in Medicare?

Yes. Leslie Wilfong 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.

What insurance does Leslie Wilfong accept?

Health plans from CareSource list Leslie Wilfong 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 Leslie Wilfong was last updated on February 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.