Individual provider Active NPI

Zoe Rae Leary, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1508485129
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
106011 Issued in NY
Practice address
519 8TH Ave RM 9
New York, NY 10018-4582
Phone
(518) 755-9510
NPI assigned
Apr 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 106011 NY Primary

Addresses

Primary practice location

519 8TH Ave RM 9
New York, NY 10018-4582

Mailing address

1467 Bedford Ave Apt 2a
Brooklyn, NY 11216-8811
Phone (518) 755-9510

Other identifiers 1

IdentifierTypeStateIssuer
106011OtherNYLICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL zoelearytherapy@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 21, 2025 through May 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106011NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1508485129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 BEDFORD AVE APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112168811",
            "telephone_number": "518-755-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 8TH AVE RM 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100184582",
            "telephone_number": "518-755-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARY",
        "first_name": "ZOE",
        "middle_name": "RAE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "106011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "106011",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "zoelearytherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "519 8th Ave Rm 9",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100184582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.