Individual provider Active NPI

Patricia L Leonard, L.C.S.W.

  • Clinical Social Worker
  • Fort Myers, FL
National Provider Identifier
1104833847
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5805 Issued in FL
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SW5805FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sunspire Health Florida, LLC PastSince Sep 1, 2020 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.

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.

Verify at the official NPI Registry.