Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leann Ridulfo, LCSW

Individual provider Case Manager/Care Coordinator · NPI 1902262959

Leann Ridulfo, LCSW is a Clinical Social Worker in Bayshore, New York. Qualified in 2015, 11 years ago. Practices with Family Service League Inc, a 47-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

1448 Fifth Ave
Bayshore, NY 11706
Phone: (631) 309-6837
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 096791-1 (NY)

Record details

NPI number1902262959
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 6, 2016
Last updated in NPPESJuly 21, 2021
Certification dateJuly 21, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Family Service League Inc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount