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LEISA M REBOLD
NPI 1952834210
Social Worker - Clinical in Virginia Beach, VA

Active since April 04, 2017Opted out of Medicare · through Jul 1, 2027
206 70TH ST, VIRGINIA BEACH, VA 23451(757) 563-3007 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leisa M Rebold NPPES

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

LEISA M REBOLD (NPI 1952834210) is an individual clinical provider in Virginia Beach, Virginia, licensed in Virginia (0904008318) and active in the NPI registry since April 2017. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1952834210
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLEISA M REBOLD
Location Address206 70TH STVirginia Beach, VA 23451-2005
Mailing Address206 70th StVirginia Beach, VA 23451-2005 · (757) 778-5080
Phone(757) 563-3007
Sole ProprietorYes
Enumeration DateApril 4, 2017
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1952834210 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 VA · 0904008318
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.
206 70TH ST, Virginia Beach, VA 23451
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Other Names 1

Former Name (1)Leisa M Brass Lcsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Leisa M Rebold has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Leisa Rebold's NPI number?

The NPI number for Leisa Rebold is 1952834210. It was assigned to this individual provider in the NPPES registry on April 4, 2017. The provider is also known as Leisa M Brass Lcsw.

Where is Leisa Rebold located?

Leisa Rebold practices at 206 70th St, Virginia Beach, VA 23451. The listed phone number is (757) 563-3007.

What is Leisa Rebold's specialty?

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

Is Leisa Rebold enrolled in Medicare?

No. Leisa Rebold has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Leisa Rebold accept?

Health plans from Providence Health Plan list Leisa Rebold 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 Leisa Rebold was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.