Individual provider Active NPI

Andrew Leonard, LICSW

  • Clinical Social Worker
  • East Providence, RI
National Provider Identifier
1902413701
Registry record updated Apr 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW03049 Issued in RI
Practice address
410 N Broadway
East Providence, RI 02914-2025
Phone
(401) 320-4458
Fax
(401) 340-1572
NPI assigned
Sep 25, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2025

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 ISW03049 RI Primary

Addresses

Primary practice location

410 N Broadway
East Providence, RI 02914-2025

Mailing address

85 Kimberly Dr
West Greenwich, RI 02817-2001
Phone (401) 543-7971

Other practice location 1

132 Central St Ste 107D
Foxboro, MA 02035-2422
Phone (508) 203-7979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20201119002975 RI Practitioner - Clinical Social Worker 9537570783 Reassigns benefits to 1 organization
Practice locations: Pawtucket, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arise Psychotherapy Services IncGroup PAC ID 4284020561, 9 clinicians

Practice addresses (Care Compare)

410 N Broadway
East Providence, RI 02914-2025
Phone (401) 320-4458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Psychotherapy Services, Inc Clinical CurrentSince Mar 5, 2022 Accepting new patients

Locations

132 Central St
Ste 107D
Foxboro, MA 02035
Phone (508) 203-7979

410 N Broadway
East Providence, RI 02914
Phone (401) 320-4458

Organizations & group practices 1

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": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745107200000",
    "number": "1902413701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 KIMBERLY DR",
            "city": "WEST GREENWICH",
            "state": "RI",
            "postal_code": "028172001",
            "telephone_number": "401-543-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N BROADWAY",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029142025",
            "telephone_number": "401-320-4458",
            "fax_number": "401-340-1572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Central St Ste 107D",
            "address_purpose": "LOCATION",
            "city": "Foxboro",
            "state": "MA",
            "postal_code": "020352422",
            "country_code": "US",
            "telephone_number": "508-203-7979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "ANDREW",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-25",
        "last_updated": "2025-04-20",
        "certification_date": "2025-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.