Individual provider Active NPI

Elisa Fry Leonard, L.C.S.W.

  • Clinical Social Worker
  • Valencia, CA
National Provider Identifier
1629248752
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 23997 Issued in CA
Practice address
25000 Avenue Stanford
Valencia, CA 91355-1224
Phone
(818) 521-5245
NPI assigned
Mar 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 23997 CA Primary

Addresses

Primary practice location

25000 Avenue Stanford
Valencia, CA 91355-1224

Mailing address

18831 Kilfinan St
Porter Ranch, CA 91326-1048
Phone (818) 368-6973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200508000811 CA Practitioner - Clinical Social Worker 1557614633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New U Therapy Center and Family Services IncGroup PAC ID 4981034402, 20 clinicians

Practice addresses (Care Compare)

25000 Ave Stanford
Suite 167
Valencia, CA 91355-4596
Phone (818) 600-2034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 23997CAMDClinical Social Worker
23997CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
New U Therapy Center & Family Services Inc. CurrentSince Mar 1, 2020 Accepting new patients

Locations

3812 Sepulveda Blvd
Ste 260
Torrance, CA 90505
Phone (661) 535-0916

21615 Hawthorne Blvd
Ste 200
Torrance, CA 90503
Phone (310) 371-8555

25000 Avenue Stanford
Ste 167
Valencia, CA 91355
Phone (661) 299-7033

31200 Via Colinas
Ste 202
Westlake Village, CA 91362
Phone (661) 299-7033

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": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1629248752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18831 KILFINAN ST",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913261048",
            "telephone_number": "818-368-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 AVENUE STANFORD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551224",
            "telephone_number": "818-521-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY LEONARD",
        "first_name": "ELISA",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 23997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.