Individual provider Active NPI

Leyana Overstreet Stevenson, LCSW, CSAC, CSOTP

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1326230640
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006954 Issued in VA
Practice address
423 E 23Rd St
New York, NY 10010-5011
Phone
(212) 686-7500
Fax
(212) 742-9593
NPI assigned
Aug 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710102115 VA
Clinical Social Worker 1041C0700X 0904006954 VA Primary
Counselor 101Y00000X 0812000532 VA

Addresses

Primary practice location

423 E 23Rd St
New York, NY 10010-5011

Mailing address

1100 Avalon SQ Apt 1350
Glen Cove, NY 11542-3372
Phone (757) 581-3755

Other practice location 1

734 Maltby Ave
Norfolk, VA 23504-3530
Phone (757) 581-3755

Other names 1

  • Leyana Overstreet Stevenson Professional name

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

LicenseStateTypeSpecialty
0812000532VAMDCounselor
0710102115VAMDAddiction (Substance Use Disorder) Counselor
0904006954VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Adult & Family Care Addiction (Substance Use Disorder) Past Accepting new patients

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": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1326230640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 AVALON SQ APT 1350",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423372",
            "telephone_number": "757-581-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E 23RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105011",
            "telephone_number": "212-686-7500",
            "fax_number": "212-742-9593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "734 Maltby Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235043530",
            "country_code": "US",
            "telephone_number": "757-581-3755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "LEYANA",
        "middle_name": "OVERSTREET",
        "credential": "LCSW, CSAC, CSOTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102115",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006954",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0812000532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEYANA",
            "last_name": "STEVENSON",
            "middle_name": "OVERSTREET",
            "credential": "LCSW MAC CSAC CSOTP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.