Active NPI
Leda Rose Sportolari, LCSW
- Clinical Social Worker
- Bala Cynwyd, PA
National Provider Identifier
1306818307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW013621
- Practice address
- 191 Presidential Blvd
Suite W10
Bala Cynwyd, PA 19004-1207 - Phone
- (610) 649-9945
- Fax
- (610) 668-2301
- NPI assigned
- Feb 3, 2006
- 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 | CW013621 | PA | Primary |
Addresses
Primary practice location
191 Presidential Blvd
Suite W10
Bala Cynwyd, PA 19004-1207
Mailing address
191 Presidential Blvd
Suite W10
Bala Cynwyd, PA 19004-1207
Phone (610) 649-9945
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW013621 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1306818307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 PRESIDENTIAL BLVD",
"address_2": "SUITE W10",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041207",
"telephone_number": "610-649-9945",
"fax_number": "610-668-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 PRESIDENTIAL BLVD",
"address_2": "SUITE W10",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041207",
"telephone_number": "610-649-9945",
"fax_number": "610-668-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPORTOLARI",
"first_name": "LEDA",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW013621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.