Individual provider Active NPI

Stephanie Lynn Leimbacher, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1811072192
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078353 Issued in NY
Practice address
27 W 96TH St
New York, NY 10025-6607
Phone
(917) 513-4934
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 078353 NY Primary

Addresses

Primary practice location

27 W 96TH St
New York, NY 10025-6607

Mailing address

128 E 36TH St Apt 4
New York, NY 10016-3417
Phone (917) 513-4934

Other practice location 1

12 E 88th St
Gre
New York, NY 10128-0535
Phone (917) 513-4934

Other practice location 2

128 E 36th St Apt 4
New York, NY 10016-3417
Phone (917) 513-4934

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

LicenseStateTypeSpecialty
078353NYMDClinical Social Worker

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": "1521244800000",
    "number": "1811072192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E 36TH ST APT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163417",
            "telephone_number": "917-513-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 W 96TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256607",
            "telephone_number": "917-513-4934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 E 88th St",
            "address_2": "GRE",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101280535",
            "country_code": "US",
            "telephone_number": "917-513-4934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 E 36th St Apt 4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100163417",
            "country_code": "US",
            "telephone_number": "917-513-4934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIMBACHER",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.