MR. KENNETH J LEEDS MSW - NPI 1932483179 - Social Worker in Brooklyn, NY

Q: What is Kenneth Leeds's NPI number?

The NPI number for Kenneth Leeds is 1932483179. It was assigned to this individual provider in the NPPES registry on October 6, 2011.

Q: What is Kenneth Leeds's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Kenneth Leeds enrolled in Medicare?

No. Kenneth Leeds has opted out of Medicare through January 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Leeds was last updated on October 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

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About Mr. Kenneth J Leeds Msw NPPES

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

MR. KENNETH J LEEDS MSW (NPI 1932483179) is an individual social worker in Brooklyn, New York and active in the NPI registry since October 2011. He has opted out of Medicare through January 11, 2027.

NPPES Registry Identity

NPI1932483179

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameMR. KENNETH J LEEDSCredential: MSW

Location Address163 PROSPECT PARK WBrooklyn, NY 11215-5271

Mailing Address163 Prospect Park WBrooklyn, NY 11215-5271 · (718) 306-7755

Phone(718) 306-7755

Sole ProprietorNo

Enumeration DateOctober 6, 2011

✔ NPI 1932483179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

163 PROSPECT PARK W, Brooklyn, NY 11215

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Kenneth J Leeds Msw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 11, 2023 through January 11, 2027.

Opt-Out Effective DateJanuary 11, 2023

Opt-Out In Effect ThroughJanuary 11, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

DR. MOLLY R GROSS PSY.D.

Psychologist (Clinical Child & Adolescent)