Active NPI
Julie C Leblanc, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1366795262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 078582
- Practice address
- 19 West 34TH Street
12TH Floor and Penthouse Floor
New York, NY 10001 - Phone
- (917) 403-9107
- NPI assigned
- Oct 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 078582 | NY | Primary |
Addresses
Primary practice location
19 West 34TH Street
12TH Floor and Penthouse Floor
New York, NY 10001
Mailing address
563 West 184TH Street
5B
New York, NY 10033
Phone (917) 403-9107
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 |
|---|---|---|---|
| 078582 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1366795262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "563 WEST 184TH STREET",
"address_2": "5B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10033",
"telephone_number": "917-403-9107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 WEST 34TH STREET",
"address_2": "12TH FLOOR AND PENTHOUSE FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "917-403-9107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "JULIE",
"middle_name": "C",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-17",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "078582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.