Adrien Leacy, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20646 Issued in MD

Practice address

10 W Eager St Ste 324
Baltimore, MD 21201-5743

Phone

(443) 420-8037

NPI assigned

Oct 10, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Adrienne Kurko Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1093225542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 MCCULLOH ST FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173439",
            "telephone_number": "312-351-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W EAGER ST STE 324",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015743",
            "telephone_number": "443-420-8037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5058 Dorsey Hall Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210427850",
            "country_code": "US",
            "telephone_number": "410-884-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEACY",
        "first_name": "ADRIEN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-10",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "KURKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brianna Lea
• Brittany Leach, LMSW
• Darlean Elaine Leach
• Lenae Leach
• Nathaniel Leach Jr., CRT
• Lead4Life, Inc.
• Michele Leadbetter, OT
• Leading by Example LLC
• Leading by Example LLC
• Leading by Example LLC

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.