Active NPI
Ashley Leeman, LCSW
- Clinical Social Worker
- Portland, ME
National Provider Identifier
1053611426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC13752
- Practice address
- 609 Forest Ave
Portland, ME 04101-1515 - Phone
- (207) 409-7895
- NPI assigned
- Nov 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MC12702 | ME | |
| Clinical Social Worker | 1041C0700X | LC13752 | ME | Primary |
Addresses
Primary practice location
609 Forest Ave
Portland, ME 04101-1515
Mailing address
124 Cleveland Cir
South Portland, ME 04106-6713
Phone (207) 899-8584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC13752 | ME | MD | Clinical Social Worker |
| MC12702 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1053611426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 CLEVELAND CIR",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041066713",
"telephone_number": "207-899-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 FOREST AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041011515",
"telephone_number": "207-409-7895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEEMAN",
"first_name": "ASHLEY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-01",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC12702",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC13752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.