Active NPI
Leah Persik, LCSW
- Clinical Social Worker
- Oceanside, NY
National Provider Identifier
1013304237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R053548-1
- Practice address
- 225 Merrick Rd
Oceanside, NY 11572-1430 - Phone
- (516) 698-4169
- NPI assigned
- Apr 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R053548-1 | NY | Primary |
Addresses
Primary practice location
225 Merrick Rd
Oceanside, NY 11572-1430
Mailing address
225 Merrick Rd
Oceanside, NY 11572-1430
Phone (516) 698-4169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R053548-1 | NY | MD | Clinical Social Worker |
| 053548 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1013304237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 MERRICK RD",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115721430",
"telephone_number": "516-698-4169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MERRICK RD",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115721430",
"telephone_number": "516-698-4169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSIK",
"first_name": "LEAH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-26",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R053548-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.