Individual provider Active NPI

Leanna R Lee-Sydnor, LCSW, CASAC-2

  • Clinical Social Worker
  • Yonkers, NY
National Provider Identifier
1114353240
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
093383 Issued in NY
Practice address
107 S Broadway
Yonkers, NY 10701-4006
Phone
(914) 378-7102
Fax
(914) 378-7273
NPI assigned
Sep 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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 093383 NY Primary

Addresses

Primary practice location

107 S Broadway
Yonkers, NY 10701-4006

Mailing address

100 Riverdale Ave Apt 12K
Yonkers, NY 10701-4618
Phone (914) 361-5993

Other identifiers 2

IdentifierTypeStateIssuer
WVE061OtherNYMEDICARE#
02449154MedicaidNY

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
093383NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leanna Lee-Sydnor, LCSW Psychotherapy Services,LLC Clinical CurrentSince Aug 2, 2020 Accepting new patients
Ruby Psychiatric Services, PLLC PastSince Apr 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1114353240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVERDALE AVE APT 12K",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107014618",
            "telephone_number": "914-361-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107014006",
            "telephone_number": "914-378-7102",
            "fax_number": "914-378-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE-SYDNOR",
        "first_name": "LEANNA",
        "middle_name": "R",
        "credential": "LCSW, CASAC-2",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE#",
            "identifier": "WVE061",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02449154",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

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