Active NPI
Annette Susan Leavy, LCSW,MSW
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1801073010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 115 N Lambert St
Philadelphia, PA 19103-1106 - Phone
- (215) 636-0550
- Fax
- (215) 636-0770
- NPI assigned
- Jan 30, 2008
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
115 N Lambert St
Philadelphia, PA 19103-1106
Mailing address
115 N Lambert St
Philadelphia, PA 19103-1106
Phone (215) 636-0550
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1801073010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 N LAMBERT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191031106",
"telephone_number": "215-636-0550",
"fax_number": "215-636-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N LAMBERT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191031106",
"telephone_number": "215-636-0550",
"fax_number": "215-636-0770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVY",
"first_name": "ANNETTE",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "LCSW,MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-30",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.