Healthcare Provider Details

I. General information

NPI: 1083231898
Provider Name (Legal Business Name): ANDREA LEONARDI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2020
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 E THOMAS RD STE 2
PHOENIX AZ
85012-3203
US

IV. Provider business mailing address

19016 N 12TH ST
PHOENIX AZ
85024-2377
US

V. Phone/Fax

Practice location:
  • Phone: 915-355-1494
  • Fax:
Mailing address:
  • Phone: 915-355-1494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number18663
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: