Clara Lynette Leath, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15717 Issued in MD

Practice address

8830 Orchard Tree LN
Baltimore, MD 21286-2143

Phone

(443) 632-3606

NPI assigned

Aug 11, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Premier Health Care, LLC

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1285017822

  DC, Multi-Specialty

  Medicare reassignment NPD
• Premier Health Care LLC

  • Internal Medicine Physician
  • Clinton, MD
  • NPI 1528538758
  NPD
• Premier Health Care LLC

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1871962548

  Clinical

  NPD (past)

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1972818243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 BOOKER DR",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207431834",
            "telephone_number": "301-350-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 ORCHARD TREE LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212862143",
            "telephone_number": "443-632-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATH",
        "first_name": "CLARA",
        "middle_name": "LYNETTE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE IDENTIFICATION NUMBER",
            "identifier": "27-3216860",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelina Vittoria Leary
• George Leary III, PHD
• George Edward Leary II, MA
• Kayla Lynn Leary
• Jennifer Lease, MSW
• Lakiera Nashaw Leath
• Elisabeth Leatherman, LCPC
• Mitchell Scott Leatherman, DPT
• Colleen Mary Leavitt, MD
• Sharea Angela Leavy, HAD & SLP

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.