Todd William Labreck, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111299 Issued in MA

Practice address

1 Pearl St Ste 2300
Brockton, MA 02301-2868

Phone

(508) 846-6321

NPI assigned

Jan 29, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1043497217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "MANOMET",
            "state": "MA",
            "postal_code": "023450254",
            "telephone_number": "508-846-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PEARL ST STE 2300",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012868",
            "telephone_number": "508-846-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRECK",
        "first_name": "TODD",
        "middle_name": "WILLIAM",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M18467",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "P22834",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "P22834",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-CARE",
            "identifier": "334607",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Marie L'Italien, R.PH
• Sara Ann La Grange, M.D.
• Melissa J Labady, MS
• Christopher Laboe
• Laboratory Corporation of America Holdings
• Elizabeth T Lachut, LMHC
• Alyssa L Lacouture, LICSW
• Maryanne P Ladd, RN,CPNP
• Edelaine Lafondrie, MSN, APRN, PMHNP-BC
• Natacha Laforest, R.N.

• Clinical Social Worker in Brockton, MA
• Providers in Brockton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.