Individual provider Active NPI

Lleidy De Leon

  • Clinical Social Worker
  • Hartford, CT
National Provider Identifier
1417324914
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
56 Arbor St
# 100B
Hartford, CT 06106-1222
Phone
(860) 493-1841
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

56 Arbor St
# 100B
Hartford, CT 06106-1222

Mailing address

1406 Trout Brook Dr
West Hartford, CT 06117-2653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210908003126 CT Practitioner - Clinical Social Worker 0042616518 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Psychological Services, LLC Clinical CurrentSince Aug 15, 2021 Accepting new patients
Buscando Mi Destino,LLC CurrentSince Nov 3, 2021 Accepting new patients

Locations

191 Franklin Ave
Hartford, CT 06114
Phone (860) 296-7460

56 Arbor St
#100B
Hartford, CT 06106
Phone (860) 209-0696

210 Wethersfield Ave
Hartford, CT 06114
Phone (860) 294-0094

Organizations & group practices 2

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1417324914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 TROUT BROOK DR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 ARBOR ST",
            "address_2": "# 100B",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061222",
            "telephone_number": "860-493-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "LLEIDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.