Individual provider Active NPI

Victoria Leonard, LCSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1699363598
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015421 Issued in NC
Practice address
6752 Gordon Rd
Wilmington, NC 28411-8464
Phone
(910) 463-2442
Fax
(910) 661-3671
NPI assigned
Jan 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P014729 NC
Clinical Social Worker 1041C0700X C015421 NC Primary

Addresses

Primary practice location

6752 Gordon Rd
Wilmington, NC 28411-8464

Mailing address

6752 Gordon Rd
Wilmington, NC 28411-8464
Phone (910) 463-2442

Other practice location 1

1907 S 17th St Ste 1
Wilmington, NC 28401-6680
Phone (910) 463-2442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240321002425 NC Practitioner - Clinical Social Worker 2264835842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6752 Gordon Rd
Wilmington, NC 28411-8464
Phone (910) 463-2442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C015421NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Leonard Counseling Clinical CurrentSince Oct 3, 2023 Accepting new patients

Locations

6752 Gordon Rd
Wilmington, NC 28411
Phone (910) 463-2442

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": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1699363598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6752 GORDON RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118464",
            "telephone_number": "910-463-2442",
            "fax_number": "910-661-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6752 GORDON RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118464",
            "telephone_number": "910-463-2442",
            "fax_number": "910-661-3671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1907 S 17th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016680",
            "country_code": "US",
            "telephone_number": "910-463-2442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "VICTORIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014729",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.