Leonard Clark Perry, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801020940 Issued in MI

Practice address

1381 S Patrick Dr
45 Mdos/Sgoh
Patrick AFB, FL 32925

Phone

(321) 494-8171

Fax

(321) 494-8074

NPI assigned

Jan 11, 2006

Last updated

May 20, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 45 MDSS Patrick AFB

  • Pharmacist
  • Patrick AFB, FL
  • NPI 1467606384
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1821077520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 S PATRICK DR",
            "address_2": "45 MDOS/SGOH",
            "city": "PATRICK AFB",
            "state": "FL",
            "postal_code": "32925",
            "telephone_number": "321-494-8171",
            "fax_number": "321-494-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 S PATRICK DR",
            "address_2": "45 MDOS/SGOH",
            "city": "PATRICK AFB",
            "state": "FL",
            "postal_code": "32925",
            "telephone_number": "321-494-8171",
            "fax_number": "321-494-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "LEONARD",
        "middle_name": "CLARK",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801020940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Vision, Inc.
• Lawrence Grant Nelson, MD
• Roccia Maria Oliveira Driscoll, PT, DPT
• Matthew Parker Padgett, FMHNP-BC
• Patrick Family Eye Care LLC
• Aaron Pitts, PA-C
• Megan Rathweg, LCSW
• Craig H Rice, DMD
• Karla J Rombaldi Smith, BSN RN
• Sharon Samayoa, RPH

• Clinical Social Worker in Patrick AFB, FL
• Providers in Patrick AFB, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.