Individual provider Active NPI

Stephanie Leroy, LCSW

  • Clinical Social Worker
  • Kingston, NY
National Provider Identifier
1689254559
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103079 Issued in NY
Practice address
8 N Front St Ste 194
Kingston, NY 12401-3814
Phone
(631) 805-3361
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 108935 NY
Clinical Social Worker 1041C0700X 103079 NY Primary

Addresses

Primary practice location

8 N Front St Ste 194
Kingston, NY 12401-3814

Mailing address

8 N Front St Ste 194
Kingston, NY 12401-3814
Phone (631) 805-3361

Other practice location 1

1 Farmingdale Rd, Rt 109
West Babylon, NY 11704
Phone (631) 669-5355 ext. 1194

Other names 1

  • Syd Leroy Other name

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

LicenseStateTypeSpecialty
108935NYMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1689254559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N FRONT ST STE 194",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013814",
            "telephone_number": "631-805-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N FRONT ST STE 194",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013814",
            "telephone_number": "631-805-3361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Farmingdale Rd, Rt 109",
            "address_purpose": "LOCATION",
            "city": "West Babylon",
            "state": "NY",
            "postal_code": "11704",
            "country_code": "US",
            "telephone_number": "631-669-5355 x1194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEROY",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "108935",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "103079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYD",
            "last_name": "LEROY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.