Alexander Leljedal, LCSW
Social Worker, Clinical in Elmira, NY. Individual provider (NPI-1).
NPI number1760143036
StatusActive
Last updated in NPPESJan 17, 2025
Details
- NPI
- 1760143036
- Entity type
- Individual (NPI-1)
- Name
- Alexander Leljedal
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 7, 2022
- Certification date
- Jan 17, 2025
- Last updated
- Jan 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 098876 | NY | Yes |
Practice location
100 Washington StElmira, NY 14901-2849
Phone 607-737-4711
Mailing address
418 N Main StPenn Yan, NY 14527-1070
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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