Individual provider Active NPI

Leighton Whyte

  • Social Worker
  • Springfield Gardens, NY
National Provider Identifier
1215261912
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
080291 Issued in NY
Practice address
14310 Springfield Blvd
Springfield Gardens, NY 11413-3240
Phone
(718) 949-8405
NPI assigned
Sep 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P72324 NY
Social Worker 104100000X 080291 NY Primary

Addresses

Primary practice location

14310 Springfield Blvd
Springfield Gardens, NY 11413-3240

Mailing address

24519 149TH Rd
Rosedale, NY 11422-2717
Phone (516) 382-6825

Other practice location 1

274 W 145th St
New York, NY 10039-4122
Phone (212) 368-4100 ext. 15

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

LicenseStateTypeSpecialty
080291NYMDClinical Social Worker
P72324NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Graham Windham Past Accepting new patients

Organizations & group practices 1

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": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1215261912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24519 149TH RD",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222717",
            "telephone_number": "516-382-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14310 SPRINGFIELD BLVD",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133240",
            "telephone_number": "718-949-8405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "274 W 145th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100394122",
            "country_code": "US",
            "telephone_number": "212-368-4100 x15",
            "fax_number": "212-281-5041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHYTE",
        "first_name": "LEIGHTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-28",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P72324",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "080291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.