Gabriella Leon, ISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1903 Island Walk Way
Fernandina Beach, FL 32034-4797

Phone

(904) 277-0027

Fax

(407) 867-6261

NPI assigned

Jul 29, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Florida Psychological & Associated Healthcare

  • Psychologist
  • Fernandina Beach, FL
  • NPI 1326419029
  NPD (past)
• Florida Psychological Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fernandina, FL
  • NPI 1922496850
  NPD (past)

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1922551696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 ISLAND WALK WAY",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344797",
            "telephone_number": "904-277-0027",
            "fax_number": "407-867-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 ISLAND WALK WAY",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344797",
            "telephone_number": "904-277-0027",
            "fax_number": "407-867-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "GABRIELLA",
        "credential": "ISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-29",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW 5814",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor A Leard, PA-C
• Lee Chiropractic Clinic Inc
• Joseph Michael Lee, DC
• Lina Lehner, RD, LD
• Lemon Tree Rehabilitative Services LLC
• Vanessa Lewallen, LAC
• Warren Zachary Lewis, LMT
• Jeffrey Mark Lezynski, AUD
• Jo Lichten, PHD, RDN
• Life Line Home Care Inc

• Clinical Social Worker in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.