Active NPI
Patricia L Leonard, L.C.S.W.
- Clinical Social Worker
- Fort Myers, FL
National Provider Identifier
1104833847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW5805
- Practice address
- 3615 Central Ave
Suite 4
Fort Myers, FL 33901-8257 - Phone
- (239) 278-1140
- NPI assigned
- Aug 2, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW5805 | FL | Primary |
Addresses
Primary practice location
3615 Central Ave
Suite 4
Fort Myers, FL 33901-8257
Mailing address
15041 Paddle Creek Dr
Apt. 101
Fort Myers, FL 33919-6940
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW5805 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunspire Health Florida, LLC | Past | Accepting new patients | |
| Lutheran Services Florida, Inc. | Past | Accepting new patients | |
| Sunspire Health Florida, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Counselor
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- NPI 1336285634
-
- Substance Abuse Rehabilitation Facility
- Brandon, FL
- NPI 1073116141
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Tampa, FL
- NPI 1619308756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1104833847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15041 PADDLE CREEK DR",
"address_2": "APT. 101",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339196940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 CENTRAL AVE",
"address_2": "SUITE 4",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339018257",
"telephone_number": "239-278-1140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "PATRICIA",
"middle_name": "L",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW5805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.