Active NPI
Lina Leedy
- Clinical Social Worker
- Camp Hill, PA
National Provider Identifier
1487092037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW013615
- Practice address
- 3903 Hartzdale Dr
Suite 305
Camp Hill, PA 17011-7836 - Phone
- (717) 763-8650
- Fax
- (717) 763-8653
- NPI assigned
- Jun 5, 2013
- 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 | CW013615 | PA | Primary |
Addresses
Primary practice location
3903 Hartzdale Dr
Suite 305
Camp Hill, PA 17011-7836
Mailing address
3903 Hartzdale Dr
Suite 305
Camp Hill, PA 17011-7836
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 |
|---|---|---|---|
| CW013615 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Psychological Services of Pennsylvania LLC | 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.
-
- Clinic/Center
- Camp Hill, PA
- NPI 1407006174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1487092037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3903 HARTZDALE DR",
"address_2": "SUITE 305",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170117836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3903 HARTZDALE DR",
"address_2": "SUITE 305",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170117836",
"telephone_number": "717-763-8650",
"fax_number": "717-763-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEEDY",
"first_name": "LINA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-05",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW013615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.