The Latin Enrichment Organization

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THE LATIN ENRICHMENT ORGANIZATION

Doing business as

LEO Clinic

Practice address

54 Forest St
Hartford, CT 06105-3204

Phone

(860) 249-0975

Fax

(860) 249-0975

NPI assigned

Dec 16, 2020

Last updated

Feb 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos Marrero, MSW, ACSWNPI 1952723413

Title

Clinic Director

Phone

(860) 249-0975

Specialties & licenses 5

Addresses

Other names 1

• LEO Clinic Doing business as

Tax ID family

The Latin Enrichment Organization LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Latin Enrichment Organization LLC

  dba LEO Clinic

  • Primary Care Clinic/Center
  • Hartford, CT
  • NPI 1356939656
  NPD tax ID
• The Latin Enrichment Organization LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Hartford, CT
  • NPI 1144101445
  NPD tax ID
• The Latin Enrichment Organization LLC

  • Clinic/Center
  • Hartford, CT
  • NPI 1689555989
  NPD tax ID
• The Latin Enrichment Organization LLC

  dba L.E.O. Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hartford, CT
  • NPI 1902298193
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos Marrero, LCSW, GAL, EDD

  • Clinical Social Worker
  • Hartford, CT
  • NPI 1952723413
  Authorized official Same address or phone

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1982290714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380322",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061380322",
            "telephone_number": "860-249-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 FOREST ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061053204",
            "telephone_number": "860-249-0975",
            "fax_number": "860-249-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LATIN ENRICHMENT ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "860-249-0975",
        "authorized_official_credential": "MSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEO Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LEO Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.