Active NPI
Candice Leon
- Social Worker
- Newburgh, NY
National Provider Identifier
1194608075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P136753
- Practice address
- 100 Stony Brook CT
Newburgh, NY 12550-6519 - Phone
- (845) 402-0170
- NPI assigned
- Jul 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | P136753 | NY | Primary |
Addresses
Primary practice location
100 Stony Brook CT
Newburgh, NY 12550-6519
Mailing address
17 Talbot Ave
Beacon, NY 12508-1711
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 |
|---|---|---|---|
| P136753 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1194608075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 TALBOT AVE",
"city": "BEACON",
"state": "NY",
"postal_code": "125081711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 STONY BROOK CT",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125506519",
"telephone_number": "845-402-0170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "CANDICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-29",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "P136753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.