Active NPI
Christopher Leonard, MSW, LICSW, LCSW
- Clinical Social Worker
- Middlebury, VT
National Provider Identifier
1316474844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089.0134364
- Practice address
- 6 Mill St
Middlebury, VT 05753-1132 - Phone
- (201) 723-6995
- NPI assigned
- May 15, 2017
- Last updated
- Feb 28, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 096414 | NY | |
| Clinical Social Worker | 1041C0700X | 44SCO4556500 | NJ | |
| Clinical Social Worker | 1041C0700X | 089.0134364 | VT | Primary |
Addresses
Primary practice location
6 Mill St
Middlebury, VT 05753-1132
Mailing address
10 Main St Unit 208
Middlebury, VT 05753-7408
Phone (201) 723-6995
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089.0134364 | Other | VT | LICENSED INDEPENDENT CLINICAL SOCIAL WORKER |
| 096414 | Other | NY | LICENSED CLINICAL SOCIAL WORKER |
| 1164968582 | Other | NPI | |
| 44SCO4556500 | Other | NJ | LICENSED CLINICAL SOCIAL WORKER |
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 |
|---|---|---|---|
| 096414 | NY | MD | Social Worker |
| 44SCO4556500 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1316474844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MAIN ST UNIT 208",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057537408",
"telephone_number": "201-723-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 MILL ST",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057531132",
"telephone_number": "201-723-6995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "CHRISTOPHER",
"credential": "MSW, LICSW, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-15",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "096414",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SCO4556500",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "089.0134364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED INDEPENDENT CLINICAL SOCIAL WORKER",
"identifier": "089.0134364",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER",
"identifier": "096414",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1164968582",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER",
"identifier": "44SCO4556500",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middlebury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.