Individual provider Active NPI

Leah Leatherbee, LCSW-R

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1861889529
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R070588-1 Issued in NY
Practice address
245 West 29TH Street, Suite 304
New York, NY 10001-5208
Phone
(718) 930-7126
Fax
(646) 726-4072
NPI assigned
Apr 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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 R070588-1 NY Primary

Addresses

Primary practice location

245 West 29TH Street, Suite 304
New York, NY 10001-5208

Mailing address

245 West 29TH Street, Suite 304
New York, NY 10001-5208
Phone (718) 930-7126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2015 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R070588-1NYMDClinical Social Worker
070588NYMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1861889529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 WEST 29TH STREET, SUITE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015208",
            "telephone_number": "718-930-7126",
            "fax_number": "646-726-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 WEST 29TH STREET, SUITE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015208",
            "telephone_number": "718-930-7126",
            "fax_number": "646-726-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERBEE",
        "first_name": "LEAH",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R070588-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.