Active NPI
David Leclair, LCSW
- Clinical Social Worker
- Hollywood, FL
National Provider Identifier
1871907170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 9652
- Practice address
- 4330 Hillcrest Dr Apt 204
Hollywood, FL 33021-7934 - Phone
- (954) 579-4052
- NPI assigned
- Jun 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAP 4217 | FL | |
| Clinical Social Worker | 1041C0700X | SW 9652 | FL | Primary |
Addresses
Primary practice location
4330 Hillcrest Dr Apt 204
Hollywood, FL 33021-7934
Mailing address
4330 Hillcrest Dr Apt 204
Hollywood, FL 33021-7934
Phone (954) 707-7200
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 |
|---|---|---|---|
| CAP 4217 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| SW 9652 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1871907170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 HILLCREST DR APT 204",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330217934",
"telephone_number": "954-707-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 HILLCREST DR APT 204",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330217934",
"telephone_number": "954-579-4052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECLAIR",
"first_name": "DAVID",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-13",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "CAP 4217",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 9652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.