Mary Grace Leonardo in Ithaca - Clinical
Mary Grace Leonardo - NPI 1104026327
Mary Grace Leonardo is a Clinical in Ithaca, New York. Mary Grace Leonardo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Grace Leonardo is 1104026327. The last update date is 2012-01-23.
Mary Grace Leonardo's current location address is 250 Hillcrest Rd, Ithaca, New York. You can contact this provider via phone number 6072799034. The mailing address for Mary Grace Leonardo is 250 Hillcrest Rd, Ithaca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Grace Leonardo |
|---|---|
| Address | 250 Hillcrest Rd, Ithaca, New York |
| Phone Number | 6072799034 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW-R |
NPI Number Detail
| NPI Number | 1104026327 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2012-01-23 |
Provider Mailing Address Detail
| Address | 250 Hillcrest Rd |
|---|---|
| City | Ithaca |
| State | New York (NY) |
| Post Code | 148509747 |
| Phone Number | 6072799034 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 69733 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 553866 | NY | VALUE OPTIONS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Grace Leonardo by the Centers for Medicare & Medicaid Services?
The Mary Grace Leonardo has been assigned the NPI (National Provider Identifier) 1104026327 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Mary Grace Leonardo is physically located?
The Mary Grace Leonardo is situated at the following address: 250 Hillcrest Rd, Ithaca, NY 148509747.
What is the Mary Grace Leonardo's specialty and taxonomy code?
The Mary Grace Leonardo's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Mary Grace Leonardo's 1104026327 issued?
The Mary Grace Leonardo's 1104026327 was issued on 2007-07-25.
As of what date was the information pertaining to Mary Grace Leonardo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary Grace Leonardo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-01-23.