Leap Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

921 Issued in AK

Legal business name

LEAP INC

Practice address

600 University Ave Ste 3
Fairbanks, AK 99709-3651

Phone

(907) 452-2473

NPI assigned

Jun 23, 2009

Last updated

Jun 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Hay, LCSW, MFA

Title

Executive Director

Phone

(907) 452-2473

Specialties & licenses 1

Addresses

Other names 1

• LEAP A/V Program Other name

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1518195080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY AVE SUITE 3",
            "address_2": "MAIL: PO BOX 82842",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997082842",
            "telephone_number": "907-452-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY AVE STE 3",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093651",
            "telephone_number": "907-452-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "HAY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-452-2473",
        "authorized_official_credential": "LCSW, MFA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEAP A/V Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anthony Lawsonq
• Philip Lazzaro
• Molly Leahy, L.P.C.
• Keely Leak
• Crystal Leake, LPC
• Barbara Ann Leder
• Stevie Janae Ledermann
• Timothy Ledna, NCC
• Laverne J Lee Huus
• Felicity Lee Sankoh

• Clinical Social Worker in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.