Leonard Clarence De Grate Jr., MSSW-LCSW-ACSW-DCSW
Individual provider Active NPI Clinical Social Worker · Terrell, TX
NPI 1003021379 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003021379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 000179 (TX)
- Practice address
- 1136 Robin Rd
Terrell, TX 75161-5350 - Phone
- (972) 551-8521
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000179 | TX | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 000179 | TX | Yes |
Addresses
Primary practice location
1136 Robin Rd
Terrell, TX 75161-5350
Mailing address
1136 Robin Rd
Terrell, TX 75161-5350
Phone (972) 551-8710
Other providers in Terrell, TX
- Darlene Johnson LLC
- Shawn Daugherty
- Deepa L David
- Denzel De'Craig Davis
- Kristy Davis
- Decosec Inc Dba Medical Alert Southwest
- Diante and Javanna Armstrong LLC
- Bonnie Celeste Dockery
- Wendy M Dolleman
- Darrian Dove-Austin
All providers in Terrell, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.