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PHYLLIS H. LEAKE LCSW
NPI 1104831528
Social Worker - Clinical in Sanford, NC

Active since July 31, 2006
130 CARBONTON RD, SANFORD, NC 27330(919) 774-6521(919) 776-6179 Get Directions Write a Review

NPPES record last updated: March 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phyllis H. Leake Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYLLIS H. LEAKE LCSW (NPI 1104831528) is an individual clinical provider in Sanford, North Carolina, licensed in North Carolina (C000926) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1104831528
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePHYLLIS H. LEAKECredential: LCSW
Location Address130 CARBONTON RDSanford, NC 27330-4009
Mailing AddressPo Box 9West End, NC 27376-0009 · (910) 673-9111 · Fax (910) 673-6202
Phone(919) 774-6521
Fax(919) 776-6179
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateMarch 25, 2008
✔ NPI 1104831528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C000926
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
130 CARBONTON RD, Sanford, NC 27330
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Other Identifiers 2

Medicare PIN2869708ANC
Medicaid6003578NC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JASON KAHLENBECK LCSW-A
Social Worker (Clinical)
130 CARBONTON RD
SANFORD, NC 27330
Lee County (919) 774-6521
SHANESIA NA'QUIS WATKINS LCSWA
Social Worker (Clinical)
130 CARBONTON RD
SANFORD, NC 27330
Lee County (919) 774-6521
SHAUNA K MOORE LMFT
Counselor (Addiction (Substance Use Disorder))
130 CARBONTON RD
SANFORD, NC 27330
Lee County (919) 774-6522
JACQUELYN PETTY LPC
Counselor (Professional)
130 CARBONTON RD
SANFORD, NC 27330
Lee County (919) 774-6521
WILLIAM T WICKER SW
Counselor
130 CARBONTON RD
SANFORD, NC 27330
Lee County (919) 774-6521
RHI ANNA LYNN STEPHENS LMFT
Marriage & Family Therapist
130 CARBONTON RD
SANFORD, NC 27330
Lee County (919) 774-6521
TENA L. CAMPBELL
Social Worker (Clinical)
130 CARBONTON RD
SANFORD, NC 27330
Lee County (919) 774-6521
CASANDRA M. SURMA
Counselor
130 CARBONTON RD
SANFORD, NC 27330
Lee County (919) 774-6521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Leake's NPI number?

The NPI number for Phyllis Leake is 1104831528. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Phyllis Leake located?

Phyllis Leake practices at 130 Carbonton Rd, Sanford, NC 27330. The listed phone number is (919) 774-6521.

What is Phyllis Leake's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Phyllis Leake was last updated on March 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.