Leonard a Clark LCSW PSC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LEONARD A CLARK LCSW PSC

Practice address

200 W Lowry LN
Lexington, KY 40503-3019

Phone

(859) 229-8160

Fax

(859) 276-5206

NPI assigned

Apr 25, 2019

Organization subpart

No

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

Authorized official

Name

Larisa Yashchenko

Title

Authorized Representative

Phone

(502) 509-6679

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Hockensmith

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1821404443
  NPD
• Margaret Adams Hazlette, LCSW

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1104954346
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1164086013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W LOWRY LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033019",
            "telephone_number": "859-229-8160",
            "fax_number": "859-276-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W LOWRY LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033019",
            "telephone_number": "859-229-8160",
            "fax_number": "859-276-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD A CLARK LCSW PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "YASHCHENKO",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "502-509-6679"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215085600",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Sue Lenhoff, PH.D.
• Samantha Grace Lenox
• Larry Amos Lentz, PHARMACIST
• Danielle V Lenz, APRN
• Jon Michael Leo, APRN
• David Leonard, DO
• Elizabeth Hannah Leonard, MD
• Andew Jacob Leonhardt, PHARMD
• Tracy Leontiev, APRN
• Maryjoy Lepak

• Adult Mental Health Clinic/Center in Lexington, KY
• Providers in Lexington, KY by specialty
• Adult Mental Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.

Verify at the official NPI Registry.