National Provider Identifier
Mary Grace Leonardo, LCSW-R
Mary Grace Leonardo, LCSW-R is listed in the NPPES registry with a primary specialty of School Social Worker in Ithaca, NY and a listed phone number of (607) 279-9034.
Profile Overview
- NPI
- 1104026327
- Provider Type
- Individual
- Primary Specialty
- School Social Worker
- Enumeration Date
- July 25, 2007
- Last Updated
- January 23, 2012
Practice Location
- 250 Hillcrest RD
- Ithaca, NY 14850-9747
Phone: (607) 279-9034
Specialties
- School Social Worker (1041S0200X)
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1104026327
- Entity Type
- Individual
- Last Name
- Leonardo
- First Name
- Mary
- Middle Name
- Grace
- Name Prefix
- MS.
- Credential
- LCSW-R
- Provider Other Last Name
- Rogan
- Provider Other First Name
- Mary
- Provider Other Middle Name
- G
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- LCSW-R
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 250 Hillcrest RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9747
- Mailing Country
- US
- Mailing Phone
- (607) 279-9034
- Practice Street Address
- 250 Hillcrest RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9747
- Practice Country
- US
- Practice Phone
- (607) 279-9034
- Enumeration Date
- July 25, 2007
- Last Updated
- January 23, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Social Worker (1041S0200X), Clinical Social Worker (1041C0700X)
- Other Identifiers
- 553866 (NY, Value Options)