Active NPI
Wayne Leach, LISW
- Clinical Social Worker
- Willoughby, OH
National Provider Identifier
1851491005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-8151
- Practice address
- 35000 Chardon Rd
Suite 210
Willoughby, OH 44094-9012 - Phone
- (440) 951-5600
- Fax
- (440) 951-1293
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 | I-8151 | OH | Primary |
Addresses
Primary practice location
35000 Chardon Rd
Suite 210
Willoughby, OH 44094-9012
Mailing address
35000 Chardon Rd
Suite 210
Willoughby, OH 44094-9012
Phone (440) 951-5600
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-8151 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Past | Accepting new patients | |
| Clinic Regional Physicians LLC | Past | Accepting new patients | |
| Psychological & Behavioral Consultants, LLC | Clinical | Past | Accepting new patients |
| Diane Eden, MD & Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
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Clinical
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254960000000",
"number": "1851491005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35000 CHARDON RD",
"address_2": "SUITE 210",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440949012",
"telephone_number": "440-951-5600",
"fax_number": "440-951-1293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35000 CHARDON RD",
"address_2": "SUITE 210",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440949012",
"telephone_number": "440-951-5600",
"fax_number": "440-951-1293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "WAYNE",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2009-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I-8151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.