Individual provider Active NPI

Debra Leonardo, LCSW-R

  • Clinical Social Worker
  • Hicksville, NY
National Provider Identifier
1154482792
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074119-1 Issued in NY
Practice address
180 Broadway
Second Floor
Hicksville, NY 11801-4256
Phone
(516) 935-6858
Fax
(516) 935-7179
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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 074119-1 NY Primary

Addresses

Primary practice location

180 Broadway
Second Floor
Hicksville, NY 11801-4256

Mailing address

180 Broadway
Second Floor
Hicksville, NY 11801-4256
Phone (516) 935-6858

Other names 1

  • Debra Blersch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110121000110 NY Practitioner - Clinical Social Worker 3971782079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1959 Monroe Ave
North Bellmore, NY 11710-1520
Phone (516) 826-4891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074119-1NYMDClinical Social Worker
061903NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Guidance Counseling & Licensed Clinical Social Work Services PC Clinical CurrentSince Aug 8, 2011 Accepting new patients
Family and Children'S Association - Linkage Past Accepting new patients
Family and Children'S Association - Hicksville 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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1154482792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 BROADWAY",
            "address_2": "SECOND FLOOR",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014256",
            "telephone_number": "516-935-6858",
            "fax_number": "516-935-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 BROADWAY",
            "address_2": "SECOND FLOOR",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014256",
            "telephone_number": "516-935-6858",
            "fax_number": "516-935-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARDO",
        "first_name": "DEBRA",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074119-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "BLERSCH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.