Active NPI
Leon Andrew Sankofa Sr., LCSW
- Clinical Social Worker
- Hampton, VA
National Provider Identifier
1588334544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904013309
- Practice address
- 3001 W Mercury Blvd
Hampton, VA 23666-3930 - Phone
- (757) 380-0385
- Fax
- (757) 380-0385
- NPI assigned
- Sep 20, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 111050 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | VA | ||
| Clinical Social Worker | 1041C0700X | 0904013309 | VA | Primary |
Addresses
Primary practice location
3001 W Mercury Blvd
Hampton, VA 23666-3930
Mailing address
PO Box 7502
Hampton, VA 23666-0502
Phone (757) 380-0385
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 |
|---|---|---|---|
| 0904013309 | VA | MD | Clinical Social Worker |
| 111050 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parallel Behavior Services | Multi-Specialty | Current | Accepting new patients |
Locations
3001 W Mercury Blvd
Hampton, VA 23666
Phone (757) 380-0385
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1588334544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7502",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236660502",
"telephone_number": "757-380-0385",
"fax_number": "757-380-0385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 W MERCURY BLVD",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236663930",
"telephone_number": "757-380-0385",
"fax_number": "757-380-0385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANKOFA",
"first_name": "LEON",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-20",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "111050",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904013309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.