Leonard F Szymczak, MSW LCSW
Individual provider Active NPI Clinical Social Worker · Monarch Beach, CA
NPI 1124192117 · NPPES record last updated Jan 29, 2015
Key facts
- NPI
- 1124192117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCS 23713 (CA)
- Practice address
- 23705 Mariner Dr
# 183
Monarch Beach, CA 92629-4306 - Phone
- (949) 443-4888
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 23713 | CA | MD | Clinical Social Worker |
| 149003726 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149003726 | IL | |
| Clinical Social Worker | 1041C0700X | LCS 23713 | CA | Yes |
Addresses
Primary practice location
23705 Mariner Dr
# 183
Monarch Beach, CA 92629-4306
Mailing address
23705 Mariner Dr
# 183
Monarch Beach, CA 92629-4306
Phone (949) 443-4888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01632058 | Other | IL | BLUE CROSS BLUE SHIELD |
Other providers in Monarch Beach, CA
- Steven Andrew Margulies
- Mark N. Montgomery, D.D.S., Inc.
- Mark N. Montgomery
- Frankie Doreen Scott-Canova
- Sterling Touch Wellness
- Catherine Lenkoski Vojtus
- Bruce Wagner
All providers in Monarch Beach, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.