Mary Grace Leonardo, LCSW-R

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

539776041 Issued in NY

Practice address

250 Hillcrest Rd
Ithaca, NY 14850-9747

Phone

(607) 279-9034

NPI assigned

Jul 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Mary G Rogan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1104026327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HILLCREST RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148509747",
            "telephone_number": "607-279-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HILLCREST RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148509747",
            "telephone_number": "607-279-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARDO",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069733",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "539776041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "553866",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ROGAN",
            "middle_name": "G",
            "prefix": "MRS.",
            "credential": "LCSW-R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brent D. Lemberg, MD
• Caitlyn Lemery, OTR/L
• Selina Jean Lenetsky, NP
• Mary Kate Lenihan, L.M.F.T.
• Mark Francis Lenzenweger, PHD
• Lerner Counseling and Education
• Alexandra Lerner, PHD
• Susan C Lerner, LCSW
• Joyce Leslie, M.D.
• Julie Wilmot Levine, PHARMACIST

• School Social Worker in Ithaca, NY
• Providers in Ithaca, NY by specialty
• School Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.