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CHIANTI SHANTEL LEAK LCSW
NPI 1720656630
Social Worker - Clinical in Matthews, NC

Active since June 16, 2021PECOS Enrolled
855 SAM NEWELL RD STE 100, MATTHEWS, NC 28105(704) 360-3637 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Chianti Shantel Leak Lcsw NPPES

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

CHIANTI SHANTEL LEAK LCSW (NPI 1720656630) is an individual clinical provider in Matthews, North Carolina, licensed in North Carolina (C019867) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720656630
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHIANTI SHANTEL LEAKCredential: LCSW
Location Address855 SAM NEWELL RD STE 100Matthews, NC 28105-7593
Mailing Address5820 E W T Harris Blvd Ste 205Charlotte, NC 28215-4032 · (704) 469-1243 · Fax (704) 469-1713
Phone(704) 360-3637
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 16, 2021
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1720656630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C019867
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 28735 (NC)
855 SAM NEWELL RD STE 100, Matthews, NC 28105
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Secondary Practice Locations 2

Location 1100 Billingsley RdCharlotte, NC 28211-1002 · Phone (704) 376-7447 · Fax (704) 376-2172
Location 2429 Billingsley RdCharlotte, NC 28211-1007 · Phone (704) 445-6900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chianti Shantel Leak Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395203103
PECOS Enrollment IDI20260820005384
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 Reassignment

Medicare enrollment records show Chianti Leak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrative Wellness Solutions, PLLC
31 mi
Psychologist
122 GATEWAY BLVD STE C
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 197 clinicians in this Medicare group
NPI 1447760871 (704) 360-3637

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 11

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

ESTHER NAM LCMHC
Counselor (Mental Health)
855 SAM NEWELL RD STE 100
MATTHEWS, NC 28105
Mecklenburg County (704) 360-3637
JOHN MELBOURNE MCGRAW MD
Psychiatry & Neurology (Psychiatry)
855 SAM NEWELL RD STE 100
MATTHEWS, NC 28105
Mecklenburg County (704) 360-3637
GAVIN THEOFIELD LCSW
Social Worker (Clinical)
855 SAM NEWELL RD STE 100
MATTHEWS, NC 28105
Mecklenburg County (704) 360-3637
JIWOO KIM LCSWA
Social Worker (Clinical)
855 SAM NEWELL RD STE 100
MATTHEWS, NC 28105
Mecklenburg County (704) 360-3637
KIMBERLY WOODWARD MSW, LCSWA
Social Worker (Clinical)
855 SAM NEWELL RD STE 100
MATTHEWS, NC 28105
Mecklenburg County (980) 446-1960
BRIAN DISTASO LCMHC
Counselor (Mental Health)
855 SAM NEWELL RD STE 100
MATTHEWS, NC 28105
Mecklenburg County (704) 360-3637
ADREAN COTTLE LCMHC
Counselor (Mental Health)
855 SAM NEWELL RD STE 100
MATTHEWS, NC 28105
Mecklenburg County (704) 360-3637
CHARITY ANN MATHEWS LCSWA, SSWS, MSW
Social Worker (Clinical)
855 SAM NEWELL RD STE 100
MATTHEWS, NC 28105
Mecklenburg County (704) 360-3637

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 Chianti Leak's NPI number?

The NPI number for Chianti Leak is 1720656630. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Chianti Leak located?

Chianti Leak practices at 855 Sam Newell Rd Ste 100, Matthews, NC 28105. The listed phone number is (704) 360-3637.

What is Chianti Leak's specialty?

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

Is Chianti Leak enrolled in Medicare?

Yes. Chianti Leak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chianti Leak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chianti Leak reassigns Medicare benefits to Integrative Wellness Solutions, PLLC (Mooresville, NC). The 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 Chianti Leak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chianti Leak accept?

Health plans from AmeriHealth Caritas Next and Cigna Healthcare list Chianti Leak 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 Chianti Leak was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.