Healthcare Provider Details

I. General information

NPI: 1295018950
Provider Name (Legal Business Name): AMANDA ELIZABETH LEONARD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA ELIZABETH WHITELIEF

II. Dates (important events)

Enumeration Date: 09/20/2011
Last Update Date: 09/06/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 SCHUYLER AVE
KINGSTON PA
18704-3336
US

IV. Provider business mailing address

427 RUTTER AVE
KINGSTON PA
18704-4707
US

V. Phone/Fax

Practice location:
  • Phone: 781-223-8126
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW018823
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: