Individual provider Active NPI

Sherri Leonard, LCSW

  • Clinical Social Worker
  • Flemington, NJ
National Provider Identifier
1801410782
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05911200 Issued in NJ
Practice address
6 Park Ave
Flemington, NJ 08822-1319
Phone
(908) 483-7905
NPI assigned
Jun 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05911200 NJ Primary

Addresses

Primary practice location

6 Park Ave
Flemington, NJ 08822-1319

Mailing address

6 Park Ave
Flemington, NJ 08822-1319
Phone (908) 483-7905

Other names 1

  • Miss Sherri Gatewood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20200731000701 NJ Practitioner - Clinical Social Worker 0042635591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6 Park Ave
Flemington, NJ 08822-1319
Phone (908) 782-7905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05911200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities, Diocese of Metuchen CurrentSince Jul 20, 2020 Accepting new patients
Catholic Charities Diocese of Metuchen CurrentSince Jul 20, 2020 Accepting new patients
Catholic Charities, Diocese of Metuchen Current Accepting new patients

Locations

6 Park Ave
Flemington, NJ 08822
Phone (908) 782-7905

319 Maple St
Perth Amboy, NJ 08861
Phone (732) 324-8200

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.

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1801410782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARK AVE",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221319",
            "telephone_number": "908-483-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PARK AVE",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221319",
            "telephone_number": "908-483-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "SHERRI",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05911200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRI",
            "last_name": "GATEWOOD",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.