Leroy Ennis, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

079975 Issued in NY

Practice address

705 Bronx River Rd Ste 204
C/O WJCS - Family Matters Program
Yonkers, NY 10704-1752

Phone

(914) 237-6089

Fax

(914) 237-6099

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Westchester Jewish Community Services Inc.

  • Community/Behavioral Health Agency
  • White Plains, NY
  • NPI 1457381196
  Medicare reassignment NPD

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1295884849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GLENCAR AVE",
            "address_2": "APT. 40",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108012337",
            "telephone_number": "914-237-6089",
            "fax_number": "914-237-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BRONX RIVER RD STE 204",
            "address_2": "C/O WJCS - FAMILY MATTERS PROGRAM",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041752",
            "telephone_number": "914-237-6089",
            "fax_number": "914-237-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "LEROY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empress Ambulance Service LLC
• Haci Murat Emul
• Felix Enabosi, PHD;OTR
• Susan K Encarnacion
• Endocrinology, Diabetes and Osteoporosis Consultants LLP
• Racquel Enriquez, P.T
• Godson Ihuoma Enyia
• Christianne Mary Eppinette, PA
• Equestrian Properties LLC
• Francisco F. Erfe, MD

• Social Worker in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.