Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720558745 Individual Practitioner Male Practitioner

Leon O. Back , LICSW

Social Worker - Clinical • Providence, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Leon Back, LICSW is a certified Social Worker - Clinical practicing in Providence, RI. With approximately 6 years of clinical experience since completing medical education in 2020, Leon Back delivers high-quality medical care to the local community at 78 BAKER ST.

Leon Back is affiliated with Coastal Medical Physicians Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

78 Baker St

Providence, RI 029054417

Telephone 4017812400
Fax 4017812687
Associated Practice Facility / Clinic
🏢 Coastal Medical, Inc. Facility NPI 1073655379

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Providence, RI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -11.6 yrs vs City Avg
City Avg: 17.6 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
820 Specialists

Practicing in Providence, RI (2501 Statewide)

Telehealth Adoption Rate
5.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Back (6 Years) 6 Yrs
Providence Specialty Average (17.6 Years) 17.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-04-04
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License RI ISW03876

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.

Hospital & Practice Group Affiliations

Coastal Medical Physicians Inc

78 Baker St, Providence, RI 029054417

Phone: 4017812400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Josephine Barnds Brown , PA

Physician Assistant - Medical

NPI 1043348550

Physician Assistant

Sara Robat , NP

Nurse Practitioner

NPI 1346956737

Nurse Practitioner

NPI 1407197395

Doctor of Medicine (M.D.)

Dr. Rosa Constantino , MD

Internal Medicine

NPI 1437786142

Doctor of Medicine (M.D.)

Dr. Kathleen Melbourne , PharmD

Pharmacist - Pharmacotherapy

NPI 1538152822

Doctor of Pharmacy (Pharm.D.)

NPI 1609405034

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 27, 2023

Registered at 78 BAKER ST, PROVIDENCE, RI 029054417 (Tel: 4017812400)

📍
Updated Business Mailing Address July 27, 2023

Registered at 78 BAKER ST, PROVIDENCE, RI 029054417 (Tel: 4017812400)

👤
Provider Name / Credentials Updated July 27, 2023

Recorded as LEON BACK, LICSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2023

Social Worker (License #ISW03876 in RI)

NPI Profile Active December 03, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 03, 2018

Registered at 100 GEORGE P HASSETT DR, MEDFORD, MA 021553258 (Tel: 7813934828)

📍
Updated Business Mailing Address December 03, 2018

Registered at 100 GEORGE P HASSETT DR, MEDFORD, MA 021553258

👤
Provider Name / Credentials Updated December 03, 2018

Recorded as LEON BACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2018

Counselor

🟢
Initial NPI Registration & Enumeration December 03, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720558745
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2018
Last Update: April 04, 2024
Sole Proprietor: No

Mailing Address

78 Baker St

Providence, RI 029054417

Phone: 4017812400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.