Active NPI
Nathan P Leavengood, LISW
- Clinical Social Worker
- Coshocton, OH
National Provider Identifier
1568944320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1.2204108
- Practice address
- 610 Walnut St
Coshocton, OH 43812-1655 - Phone
- (740) 622-0033
- Fax
- (740) 622-0210
- NPI assigned
- Aug 29, 2018
- Sex
- Male
- 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 | 1.2204108 | OH | Primary |
Addresses
Primary practice location
610 Walnut St
Coshocton, OH 43812-1655
Mailing address
610 Walnut St
Coshocton, OH 43812-1655
Phone (740) 622-0033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0352267 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1.2204108 | OH | MD | Clinical Social Worker |
Interoperability endpoints
- nathan.leavengood.p1@direct.hcenter.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680912000000",
"number": "1568944320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 WALNUT ST",
"city": "COSHOCTON",
"state": "OH",
"postal_code": "438121655",
"telephone_number": "740-622-0033",
"fax_number": "740-622-0210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 WALNUT ST",
"city": "COSHOCTON",
"state": "OH",
"postal_code": "438121655",
"telephone_number": "740-622-0033",
"fax_number": "740-622-0210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVENGOOD",
"first_name": "NATHAN",
"middle_name": "P",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-29",
"last_updated": "2023-04-08",
"certification_date": "2023-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "1.2204108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0352267",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coshocton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.