Active NPI
Leichena M Young, LCSW
- Clinical Social Worker
- MC Guire Afb, NJ
National Provider Identifier
1972776235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05345200
- Practice address
- 3458 Neely Rd
MC Guire Afb, NJ 08641-5312 - Phone
- (215) 359-7456
- Fax
- (609) 571-9319
- NPI assigned
- Apr 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05345200 | NJ | Primary |
Addresses
Primary practice location
3458 Neely Rd
MC Guire Afb, NJ 08641-5312
Mailing address
3458 Neely Rd
MC Guire Afb, NJ 08641-5312
Phone (215) 359-7456
Other names 1
- Leichena M Bodie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05345200 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Trenton CMHC Inc. | Past | Accepting new patients | |
| Woods Psychotherapy Services LLC | Clinical | 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.
-
- Community/Behavioral Health Agency
- Trenton, NJ
- NPI 1336217421
-
- Clinical Psychologist
- Pennington, NJ
- NPI 1790730901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1972776235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3458 NEELY RD",
"city": "MC GUIRE AFB",
"state": "NJ",
"postal_code": "086415312",
"telephone_number": "215-359-7456",
"fax_number": "609-571-9319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3458 NEELY RD",
"city": "MC GUIRE AFB",
"state": "NJ",
"postal_code": "086415312",
"telephone_number": "215-359-7456",
"fax_number": "609-571-9319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "LEICHENA",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05345200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEICHENA",
"last_name": "BODIE",
"middle_name": "M",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in MC Guire Afb, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.