Individual provider Active NPI

Leon Supsic Jr., MSW, LCSW

  • Clinical Social Worker
  • Elysburg, PA
National Provider Identifier
1679275598
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW026820 Issued in PA
Practice address
310 S Market St Apt B
Elysburg, PA 17824-9704
Phone
(888) 247-0305
Fax
(833) 355-5040
NPI assigned
Mar 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 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 Worker 1041C0700X CW026820 PA Primary

Addresses

Primary practice location

310 S Market St Apt B
Elysburg, PA 17824-9704

Mailing address

9 Calvett PL
Selinsgrove, PA 17870-9489
Phone (888) 247-0305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20251231001438 PA Practitioner - Clinical Social Worker 8820584691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Comprehensive Behavioral Health Support LLCGroup PAC ID 9133527823, 2 clinicians

Practice addresses (Care Compare)

1127 Shakespeare Ave
Milton, PA 17847-9558
Phone (570) 213-5285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW026820PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Behavioral Health, LLC Clinical Current Accepting new patients
Comprehensive Behavioral Health Support LLC Clinical CurrentSince Dec 12, 2025 Accepting new patients

Locations

1127 Shakespeare Ave
Milton, PA 17847
Phone (570) 213-5285

Organizations & group practices 2

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": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1679275598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CALVETT PL",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178709489",
            "telephone_number": "888-247-0305",
            "fax_number": "833-355-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S MARKET ST APT B",
            "city": "ELYSBURG",
            "state": "PA",
            "postal_code": "178249704",
            "telephone_number": "888-247-0305",
            "fax_number": "833-355-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPSIC",
        "first_name": "LEON",
        "name_suffix": "Jr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-22",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW026820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elysburg, PA

Sources for this page

Verify at the official NPI Registry.