ANDREW LEONARD (LICSW) – Clinical Social Worker, NPI 1902413701

ANDREW LEONARD (LICSW) is a healthcare provider. based in West greenwich, Rhode Island. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. ISW03049 (RI). The NPI Number for ANDREW LEONARD (LICSW) is 1902413701

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW LEONARD (LICSW)
NPI
1902413701
Phone
(401) 543-7971
Address
85 KIMBERLY DR
Enumeration Date
25 September 2020
Last Update Date
20 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4013204458
Graduation Year
2017 (9 years ago)
PAC ID
9537570783
Group Practice PAC ID
4284020561
Professional Enrollment ID
I20201119002975
Address ID
RI029142025EA410XXBROA300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

712 CLINICAL SOCIAL WORKER in RI

Provider Addresses for ANDREW LEONARD (LICSW)

  • 85 KIMBERLY DR

    WEST GREENWICH, RI 028172001

    Phone: (401) 543-7971

    Type: Mailing

  • 410 N BROADWAY

    EAST PROVIDENCE, RI 029142025

    Phone: (401) 320-4458

    Fax: (401) 340-1572

    Type: Location

  • 367 ORIENT AVE

    PAWTUCKET, RI 028612251

    Phone: (401) 543-7971

    Type: Mailing

  • 132 Central St Ste 107D

    Foxboro, MA 020352422

    Phone: (508) 203-7979

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201119002975IClinical Social WorkerRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02817)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284020561View full group profile
NameSpecialtyState
Mental Health CounselorRI
Mental Health CounselorRI
Mental Health CounselorMA
Mental Health CounselorRI
Clinical Social WorkerRI
Clinical Social WorkerRI
Mental Health CounselorRI
Mental Health CounselorRI

Reviews

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Frequently asked questions

What is the 10-digit NPI for ANDREW LEONARD (LICSW)?
ANDREW LEONARD (LICSW) — NPI 1902413701 — is the standard way to identify this listing.
Does CMS list ANDREW LEONARD (LICSW) as active?
Yes — ANDREW LEONARD (LICSW) is active in the NPI listing used on this page.
What is ANDREW LEONARD (LICSW)'s specialty?
The listing groups ANDREW LEONARD (LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is ANDREW LEONARD (LICSW) based?
ANDREW LEONARD (LICSW) is tied to West Greenwich, Rhode Island in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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