Active NPI
Leah Avni, LSCW
- Clinical Social Worker
- Campbell, CA
National Provider Identifier
1306429576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW28409
- Practice address
- 2542 S Bascom Ave Ste 100
Campbell, CA 95008-5541 - Phone
- (702) 325-4063
- NPI assigned
- May 4, 2021
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW28409 | CA | Primary |
Addresses
Primary practice location
2542 S Bascom Ave Ste 100
Campbell, CA 95008-5541
Mailing address
6074 Calle de Amor
San Jose, CA 95124-6536
Phone (702) 325-4063
Other practice location 1
6074 Calle De Amor
San Jose, CA 95124-6536
Phone (702) 325-4063
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 |
|---|---|---|---|
| LCSW28409 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LGTC Group | Clinical | Past | Accepting new patients |
| Los Gatos Therapy Center | Past | Accepting new patients | |
| WK Medical Group | Clinical | Past | Accepting new patients |
| LGTC Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Registered Dietitian
- San Jose, CA
- NPI 1710749494
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1518600972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1306429576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6074 CALLE DE AMOR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951246536",
"telephone_number": "702-325-4063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2542 S BASCOM AVE STE 100",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950085541",
"telephone_number": "702-325-4063"
}
],
"practiceLocations": [
{
"address_1": "6074 Calle De Amor",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951246536",
"country_code": "US",
"telephone_number": "702-325-4063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVNI",
"first_name": "LEAH",
"credential": "LSCW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-04",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW28409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.