Individual provider Active NPI

Leah Topek-Walker, LCSW-R

  • Clinical Social Worker
  • Patchogue, NY
National Provider Identifier
1922184662
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077631-1 Issued in NY
Practice address
168 N Ocean Ave
Patchogue, NY 11772-2004
Phone
(516) 524-4554
Fax
(631) 588-8901
NPI assigned
Oct 27, 2006
Last updated
Nov 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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 077631-1 NY Primary

Addresses

Primary practice location

168 N Ocean Ave
Patchogue, NY 11772-2004

Mailing address

168 N Ocean Ave
Patchogue, NY 11772-2004
Phone (516) 524-4554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100831000861 NY Practitioner - Clinical Social Worker 1052435856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 Newman St
Patchogue, NY 11772-2453

233 Union Ave
Suite LL2
Holbrook, NY 11741-1826
Phone (516) 524-4554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077631-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Kasdan Nurse Practitioner of Pediatrics PLLC Past Accepting new patients
Jennifer Kelsch Licensed Clinical Social Worker PC Clinical PastSince Nov 19, 2016 Accepting new patients
Genoa Healthcare LLC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1922184662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722004",
            "telephone_number": "516-524-4554",
            "fax_number": "631-588-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722004",
            "telephone_number": "516-524-4554",
            "fax_number": "631-588-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOPEK-WALKER",
        "first_name": "LEAH",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077631-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.