Active NPI
Melissa S Leathery, LSW
- Social Worker
- Hanover, PA
National Provider Identifier
1033347448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW122392
- Practice address
- 625 W Elm Ave
Hanover, PA 17331-5125 - Phone
- (717) 632-4900
- Fax
- (717) 632-3657
- NPI assigned
- Jun 24, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW122392 | PA | Primary |
Addresses
Primary practice location
625 W Elm Ave
Hanover, PA 17331-5125
Mailing address
625 W Elm Ave
Hanover, PA 17331-5125
Phone (717) 632-4900
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW122392 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257811200000",
"number": "1033347448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 W ELM AVE",
"city": "HANOVER",
"state": "PA",
"postal_code": "173315125",
"telephone_number": "717-632-4900",
"fax_number": "717-632-3657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 W ELM AVE",
"city": "HANOVER",
"state": "PA",
"postal_code": "173315125",
"telephone_number": "717-632-4900",
"fax_number": "717-632-3657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEATHERY",
"first_name": "MELISSA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-24",
"last_updated": "2009-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW122392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.