Individual provider Active NPI

Michelle Leonowicz

  • Clinical Social Worker
  • Vernon, CT
National Provider Identifier
1639036106
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16181 Issued in CT
Practice address
29 Naek Rd Ste 5a
Vernon, CT 06066-3990
Phone
(860) 431-8756
Fax
(860) 431-8756
NPI assigned
Jan 7, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 16181 CT Primary

Addresses

Primary practice location

29 Naek Rd Ste 5a
Vernon, CT 06066-3990

Mailing address

29 Naek Rd Ste 5a
Vernon, CT 06066-3990
Phone (860) 431-8756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20260209000165 CT Practitioner - Clinical Social Worker 4486133634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

29 Naek Rd
Suite 5a
Vernon, CT 06066-3990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16181CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hockanum Valley Community Council, Inc. Multi-Specialty CurrentSince Jan 7, 2026 Accepting new patients

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": "1767744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1639036106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NAEK RD STE 5A",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663990",
            "telephone_number": "860-431-8756",
            "fax_number": "860-431-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NAEK RD STE 5A",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663990",
            "telephone_number": "860-431-8756",
            "fax_number": "860-431-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONOWICZ",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "16181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.