Individual provider Active NPI

Leonie Fernando, LCSW

  • Clinical Social Worker
  • The Woodlands, TX
National Provider Identifier
1285142836
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
57200 Issued in TX
Practice address
46 E Sundance Cir
The Woodlands, TX 77382-5728
Phone
(281) 889-0161
NPI assigned
Jan 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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 57200 TX Primary

Addresses

Primary practice location

46 E Sundance Cir
The Woodlands, TX 77382-5728

Mailing address

46 E Sundance Cir
The Woodlands, TX 77382-5728
Phone (281) 889-0161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180615000035 TX Practitioner - Clinical Social Worker 5092060053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2219 Sawdust Rd
Suite 1101
Spring, TX 77380-2580
Phone (281) 889-0161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57200TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
HWL Heal With Love LLC Clinical CurrentSince Apr 30, 2018 Accepting new patients

Locations

2219 Sawdust Rd
Ste 1101
The Woodlands, TX 77380
Phone (281) 889-0161

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": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1285142836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 E SUNDANCE CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773825728",
            "telephone_number": "281-889-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 E SUNDANCE CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773825728",
            "telephone_number": "281-889-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDO",
        "first_name": "LEONIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.