Jade Charnae Leak, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

5820 E W T Harris Blvd Ste 205
Charlotte, NC 28215-4032

Phone

(704) 469-1243

NPI assigned

Jul 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1013526771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 NORTHLAKE LANDING DR APT 3304",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 E W T HARRIS BLVD STE 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282154032",
            "telephone_number": "704-469-1243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11403 N Tryon St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282620408",
            "country_code": "US",
            "telephone_number": "704-387-6410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAK",
        "first_name": "JADE",
        "middle_name": "CHARNAE",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leaf Tech Solutions LLC
• Amber Leagan
• Leah'S Hopes and Dreams
• Kaili Malia Leahy, PHARMD
• Ashanti Lachay Leak
• Alexis Michelle Leake, FNP-C
• Jennifer L Leake, NP
• Kristina Ann Leake, MD
• Leap Behavioral & Mental Health Services
• Leap of Faith Family Services

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.