Individual provider Active NPI

Emily Corinne Leayman, LCSW

  • Clinical Social Worker
  • Allentown, PA
National Provider Identifier
1962035055
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022572 Issued in PA
Practice address
4949 Liberty LN Ste 10
Allentown, PA 18106-9017
Phone
(610) 393-6023
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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 CW022572 PA Primary

Addresses

Primary practice location

4949 Liberty LN Ste 10
Allentown, PA 18106-9017

Mailing address

4949 Liberty LN Ste 10
Allentown, PA 18106-9017
Phone (610) 393-6023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • 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
I20230104002148 PA Practitioner - Clinical Social Worker 4587058672 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shire Counseling LLC Clinical CurrentSince Sep 14, 2022 Accepting new patients

Locations

4949 Liberty Ln
Ste 10
Allentown, PA 18106
Phone (610) 393-6023

4865 Hamilton Blvd
#200
Wescosville, PA 18106
Phone (610) 393-6023

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": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1962035055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 LIBERTY LN STE 10",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069017",
            "telephone_number": "610-393-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 LIBERTY LN STE 10",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069017",
            "telephone_number": "610-393-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAYMAN",
        "first_name": "EMILY",
        "middle_name": "CORINNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.