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NPI Code Detail

MEDICARE: LEONARD L NAVARRETE LMSW

MEDICARE: LEONARD L NAVARRETE LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker130694NY

General Provider Information

NPI Number : 1710811260
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEONARD L NAVARRETE LMSW
Provider Business Mailing Address
First Line : 1490 SOUTHERN BLVD
Second Line :
City : BRONX
State : NY
Zip : 10460-6262
Country : US
Telephone Number : 929-399-1341
Fax Number :
Provider Business Practice Location Address
First Line : 1490 SOUTHERN BLVD
Second Line :
City : BRONX
State : NY
Zip : 10460-6262
Country : US
Telephone Number : 929-399-1341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ LEONARD L NAVARRETE LMSW” Practice Location

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