Active NPI
Leonard Kwock, LCSW
- Clinical Social Worker
- Folsom, CA
National Provider Identifier
1740365741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 12933
- Practice address
- 3280 Highgate Terrace Loop
Folsom, CA 95630-6965 - Phone
- (805) 570-3371
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 12933 | CA | Primary |
Addresses
Primary practice location
3280 Highgate Terrace Loop
Folsom, CA 95630-6965
Mailing address
PO Box 5346
El Dorado Hills, CA 95762-0007
Phone (805) 570-3371
Other practice location 1
429 N San Antonio Rd
Santa Barbara, CA 93110-1399
Phone (805) 884-1629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090305000565 | CA | Practitioner - Clinical Social Worker | 6507922176 | Practice locations: Folsom, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Folsom, CA 95630
Phone (805) 570-3371
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 12933 | CA | MD | Clinical Social Worker |
| 12933 | CA | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1740365741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5346",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957620007",
"telephone_number": "805-570-3371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3280 HIGHGATE TERRACE LOOP",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956306965",
"telephone_number": "805-570-3371"
}
],
"practiceLocations": [
{
"address_1": "429 N San Antonio Rd",
"address_purpose": "LOCATION",
"city": "Santa Barbara",
"state": "CA",
"postal_code": "931101399",
"country_code": "US",
"telephone_number": "805-884-1629",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KWOCK",
"first_name": "LEONARD",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 12933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.