Individual provider Active NPI

Linda J. Leonard, LCSW

  • Clinical Social Worker
  • Forked River, NJ
National Provider Identifier
1891886883
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC043878000 Issued in NJ
Practice address
535 Lacey Rd
Suite 6
Forked River, NJ 08731-1533
Phone
(609) 693-7903
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC043878000 NJ Primary

Addresses

Primary practice location

535 Lacey Rd
Suite 6
Forked River, NJ 08731-1533

Mailing address

535 Lacey Rd
Suite 6
Forked River, NJ 08731-1533
Phone (609) 693-7903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210120000363 NJ Practitioner - Clinical Social Worker 8628481397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8 James Hollow Dr
Barnegat, NJ 08005-1805
Phone (609) 618-9571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC043878000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Linda J. Leonard LCSW LLC Clinical CurrentSince Dec 1, 2020 Accepting new patients
The Stress Center for Comprehensive Psychological Services Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891886883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 LACEY RD",
            "address_2": "SUITE 6",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311533",
            "telephone_number": "609-693-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 LACEY RD",
            "address_2": "SUITE 6",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311533",
            "telephone_number": "609-693-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "LINDA",
        "middle_name": "J.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC043878000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

Verify at the official NPI Registry.