Active NPI
Leonard Gallo, LCSW, LCADC
- Clinical Social Worker
- Verona, NJ
National Provider Identifier
1154706208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05768400
- Practice address
- 3 Overhill Rd
Verona, NJ 07044 - Phone
- (773) 450-3364
- NPI assigned
- Jul 29, 2015
- Last updated
- Oct 29, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00279500 | NJ | |
| Social Worker | 104100000X | 095193 | NY | |
| Clinical Social Worker | 1041C0700X | 149019826 | IL | |
| Clinical Social Worker | 1041C0700X | 087575 | NY | |
| Clinical Social Worker | 1041C0700X | 44SC05768400 | NJ | Primary |
Addresses
Primary practice location
3 Overhill Rd
Verona, NJ 07044
Mailing address
3 Overhill Rd
Verona, NJ 07044-2815
Phone (773) 450-3364
Other practice location 1
266 Harristown Rd.
Suite 209
Glen Rock, NJ 07452
Phone (201) 564-7331
Other names 1
- Mr. Lenny Gallo
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00279500 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 149019826 | IL | MD | Clinical Social Worker |
| 44SC05768400 | NJ | MD | Clinical Social Worker |
| 087575 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1154706208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 OVERHILL RD",
"city": "VERONA",
"state": "NJ",
"postal_code": "070442815",
"telephone_number": "773-450-3364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 OVERHILL RD",
"city": "VERONA",
"state": "NJ",
"postal_code": "07044",
"telephone_number": "773-450-3364"
}
],
"practiceLocations": [
{
"address_1": "266 Harristown Rd.",
"address_2": "Suite 209",
"address_purpose": "LOCATION",
"city": "Glen Rock",
"state": "NJ",
"postal_code": "07452",
"country_code": "US",
"telephone_number": "201-564-7331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLO",
"first_name": "LEONARD",
"credential": "LCSW, LCADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-29",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00279500",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "095193",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149019826",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "087575",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05768400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LENNY",
"last_name": "GALLO",
"prefix": "MR.",
"credential": "LCSW, LCADC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Verona, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.