Charlotte K Leary

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

037708-1 Issued in NY

Practice address

1840 Union Blvd
Bay Shore, NY 11706-7932

Phone

(631) 647-7885

NPI assigned

Jan 23, 2008

Last updated

Jan 23, 2008By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1548447360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 OLD COUNTRY RD",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291921",
            "telephone_number": "631-940-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 UNION BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067932",
            "telephone_number": "631-647-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARY",
        "first_name": "CHARLOTTE",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "037708-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura E Asner CSW PC (Advanced Counseling Associates)
• Danielle V Laurenti
• Vanessa Laureus
• Janet D Laviolette, APRN, BC
• Lawrence D. Campbell, M.D. PC
• Maureen Elizabeth Leblanc
• Marissa Ledonne
• Christopher C Lee, M.D.
• Kenneth Brian Lee, M.D
• Michael Woo Lee, M.D.

• Clinical Social Worker in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.