Active NPI
Jack L Leshnov, CSW
- Social Worker
- Camden, NJ
National Provider Identifier
1639507098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SW05156100
- Practice address
- 1 Cooper PLZ
Emergency Department
Camden, NJ 08103-1461 - Phone
- (856) 685-9007
- NPI assigned
- Oct 23, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SW05156100 | NJ | Primary |
Addresses
Primary practice location
1 Cooper PLZ
Emergency Department
Camden, NJ 08103-1461
Mailing address
1 Cooper PLZ
Emergency Department
Camden, NJ 08103-1461
Phone (856) 685-9007
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 |
|---|---|---|---|
| 44SW05156100 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382486400000",
"number": "1639507098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 COOPER PLZ",
"address_2": "EMERGENCY DEPARTMENT",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031461",
"telephone_number": "856-685-9007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COOPER PLZ",
"address_2": "EMERGENCY DEPARTMENT",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031461",
"telephone_number": "856-685-9007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESHNOV",
"first_name": "JACK",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-23",
"last_updated": "2013-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SW05156100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.