LEON O. BACK IV LICSW
NPI 1720558745
Social Worker - Clinical in Providence, RI

Q: What is Leon Back's NPI number?

The NPI number for Leon Back is 1720558745. It was assigned to this individual provider in the NPPES registry on December 3, 2018.

Q: What is Leon Back's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Leon Back was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 03, 2018PECOS EnrolledAccepts Medicare Assignment

78 BAKER ST, PROVIDENCE, RI 02905(401) 781-2400(401) 781-2687 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2024, Jul 27, 2023, Dec 3, 2018 (3 updates tracked since 2018).

On this page

About Leon O. Back Iv Licsw NPPES

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

LEON O. BACK IV LICSW (NPI 1720558745) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (ISW03876) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1720558745

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameLEON O. BACK IVCredential: LICSW

Location Address78 BAKER STProvidence, RI 02905-4417

Mailing Address78 Baker StProvidence, RI 02905-4417 · (401) 781-2400 · Fax (401) 781-2687

Phone(401) 781-2400

Fax(401) 781-2687

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 3, 2018

Last NPPES UpdateApril 4, 20243 updates tracked since enumeration

NPPES CertifiedApril 4, 2024

✔ NPI 1720558745 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 RI · ISW03876

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.

78 BAKER ST, Providence, RI 02905

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leon O. Back Iv Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456713205

PECOS Enrollment IDI20230811000168

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.57 – $177.03

Typical copayment $0.00 (range $14.64 – $44.25)

Most-billed visit code NA

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

MRS. JOSEPHINE MARIA BARNDS BROWN PA

Physician Assistant (Medical)