Individual provider Active NPI

Abby Rachel Leefer, LCSW

  • Clinical Social Worker
  • Port Jefferson, NY
National Provider Identifier
1003888413
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R042715-1 Issued in NY
Practice address
35 Puritan Path
Port Jefferson, NY 11777-1456
Phone
(631) 928-9808
Fax
(631) 928-9808
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R042715-1 NY Primary

Addresses

Primary practice location

35 Puritan Path
Port Jefferson, NY 11777-1456

Mailing address

35 Puritan Path
Port Jefferson, NY 11777-1456
Phone (631) 928-9808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140826002137 NY Practitioner - Clinical Social Worker 9032337498 Reassigns benefits to 1 organization
Practice locations: Port Jefferson, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

35 Puritan Path
Port Jefferson, NY 11777-1456
Phone (631) 928-9808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R042715-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Abby Leefer, Licensed Clinical Social Worker, PC Clinical CurrentSince May 1, 2021 Accepting new patients

Locations

710 Main St
Prt Jefferson, NY 11777
Phone (631) 680-7222

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1003888413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PURITAN PATH",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771456",
            "telephone_number": "631-928-9808",
            "fax_number": "631-928-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PURITAN PATH",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771456",
            "telephone_number": "631-928-9808",
            "fax_number": "631-928-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEFER",
        "first_name": "ABBY",
        "middle_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R042715-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

Verify at the official NPI Registry.