Randall Scott Leonard, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19876 Issued in MD

Practice address

1301 York Road
Ste 800 #1284
Timonium, MD 21093-5505

Phone

(443) 584-3690

NPI assigned

Mar 30, 2017

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chase Brexton Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1588606305
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, DC

  Medicare reassignment NPD
• Randall Scott Leonard

  • Community/Behavioral Health Agency
  • Timonium, MD
  • NPI 1285498246
  NPD Authorized official
• Chase Brexton Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Columbia, MD
  • NPI 1376589309
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1407388358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 YORK ROAD",
            "address_2": "STE 800 #1284",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210935505",
            "telephone_number": "443-584-3690",
            "fax_number": "410-234-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 YORK ROAD",
            "address_2": "STE 800 #1284",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210935505",
            "telephone_number": "443-584-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "RANDALL",
        "middle_name": "SCOTT",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2017-03-30",
        "last_updated": "2024-07-05",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lee
• Sunhee Lee
• Robert Gene Leikin, O.D.
• Kendra Lennon
• Benjamin Robert Leo, NP
• Kevin Jacob Levi-Goerlich, DPT
• Ann Jenkins Lewis, SLP
• Katherine Rose Lewis, PA
• Haiyang Li, PH.D., L.AC.
• Josephine Libonate

• Clinical Social Worker in Timonium, MD
• Providers in Timonium, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.