Leanndra Pack, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

130966 Issued in CA

Practice address

849 E Stanley Blvd Ste 116
Livermore, CA 94550-4008

Phone

(408) 883-5455

Fax

(408) 694-4114

NPI assigned

Oct 23, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Leanndra Fairchild Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Life Strategies Counseling, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Rogers, AR
  • NPI 1114405347
  NPD (past)
• Life Strategies Counseling, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Pocahontas, AR
  • NPI 1427656099
  NPD (past)

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1780195305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 E STANLEY BLVD STE 116",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504008",
            "telephone_number": "408-883-5455",
            "fax_number": "408-694-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 E STANLEY BLVD STE 116",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504008",
            "telephone_number": "408-883-5455",
            "fax_number": "408-694-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK",
        "first_name": "LEANNDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "10154-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "130966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANNDRA",
            "last_name": "FAIRCHILD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gabriella Orozco, HIS
• Chidinma Ortiz, RN
• Congjun Ouyang, L. AC
• Kathy E Oxsen, MS, MFT
• Kristina David Pacheco, RN
• Margaret Packwood, AUD
• Adam Christian Paiso, D.C.
• Sandy Pak, PHARMD
• Monnique Palana, NP
• Palo Alto Vamc

• Clinical Social Worker in Livermore, CA
• Providers in Livermore, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.