Leonard Richard Folz Jr., LCSW

Individual provider Active NPI Clinical Social Worker · Shalimar, FL

NPI 1023744349 · NPPES record last updated Oct 21, 2025

Key facts

NPI
1023744349
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149.029625 (IL)
Practice address
6 11TH Ave Ste G1
Shalimar, FL 32579-1473
Phone
(850) 651-1000
NPI assigned
Jul 28, 2022
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
S.2207672OHMDSocial Worker
149.029625ILMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.029625 IL Yes
Social Worker 104100000X S.2207672 OH

Addresses

Primary practice location

6 11TH Ave Ste G1
Shalimar, FL 32579-1473

Mailing address

6 11TH Ave Ste G1
Shalimar, FL 32579-1473
Phone (850) 651-1000

Other providers in Shalimar, FL

All providers in Shalimar, FL · Clinical Social Worker in Florida

Sources for this page

Verify at the official NPI Registry.