Active NPI
Carmen Angelina Leonard, LCSW
- Social Worker
- Mt. Pleasant, WI
National Provider Identifier
1780101295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 130757-121
- Practice address
- 1135 N Greenbay Road
Mt. Pleasant, WI 53406 - Phone
- (262) 939-2246
- NPI assigned
- Aug 25, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 130757-121 | WI | Primary |
Addresses
Primary practice location
1135 N Greenbay Road
Mt. Pleasant, WI 53406
Mailing address
1135 N Green Bay Rd
Mount Pleasant, WI 53406-3501
Phone (262) 939-2246
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 |
|---|---|---|---|
| 130757-121 | WI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Odyssey Healthcare Operating B, LP | Past | Accepting new patients | |
| Clinical Psychology Associates, LLC | Past | Accepting new patients | |
| Dr Tammy Zimmel LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1780101295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 N GREEN BAY RD",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534063501",
"telephone_number": "262-939-2246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 N GREENBAY ROAD",
"city": "MT. PLEASANT",
"state": "WI",
"postal_code": "53406",
"telephone_number": "262-939-2246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "CARMEN",
"middle_name": "ANGELINA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2023-06-08",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "130757-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt. Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.